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卵巢子宫内膜异位囊肿低场MR表现及诊断价值
引用本文:武庆利,付剑平,谢继明. 卵巢子宫内膜异位囊肿低场MR表现及诊断价值[J]. 医学影像学杂志, 2011, 21(4): 579-582
作者姓名:武庆利  付剑平  谢继明
作者单位:广东省东莞市大朗医院放射科,广东东莞,523770
摘    要:
目的:探讨卵巢子宫内膜异位囊肿的低场MRI表现及其诊断价值。方法:回顾性分析24例卵巢子宫内膜异位囊肿MRI和B超检查,全部病例手术病理证实。结果:24例32个卵巢病变共63个卵巢子宫内膜异位囊肿,单侧16例,双侧8例;21个卵巢为单发囊肿,11个卵巢为多发囊肿共42个囊肿,其中8个卵巢大囊肿周围伴有小囊肿,5个囊肿内有分隔;T1WI及T2WI均呈高信号23(36.5%)个囊肿,T1WI高信号而T2WI呈低信号19(30.2%)个囊肿,呈混杂信号17(27.0%)个囊肿,T1WI呈等或低信号而T2WI呈高信号4个囊肿;囊肿边缘光滑6个,边缘部分毛糙不清19个,边缘完全毛糙不清38个。低场MR术前诊断63个卵巢子宫内膜异位囊肿,60个与病理相符,3个病理诊断为囊腺瘤;B超术前诊断卵巢子宫内膜异位囊肿50个,未定性8个,未发现病变5个。结论:MRI和B超对卵巢子宫内膜异位囊肿的诊断检出率100%(63/63)、95%(60/63),特异性95%(60/63)、79%(50/63),低场MR对卵巢子宫内膜异位囊肿的诊断明显优于B超。

关 键 词:卵巢  子宫内膜异位囊肿  磁共振成像  敏感性  特异性

Low field MR findings and diagnostic value of ovarian endometrial cyst
WU Qing-li,FU Jian-ping,XIE Ji-ming. Low field MR findings and diagnostic value of ovarian endometrial cyst[J]. Journal of Medical Imaging, 2011, 21(4): 579-582
Authors:WU Qing-li  FU Jian-ping  XIE Ji-ming
Affiliation:WU Qing-li,FU Jian-ping,XIE Ji-ming Department of radiology,Dalang hospital of Dongguan City,Guangdong 523770,P.R.China
Abstract:
Objective:To investigate the low-field MR features of ovarian endometrial cyst and its diagnostic value.Methods:24 patients with endometriosis of the ovary were examined with the low-field MR plain scan and B-type ultrasonic inspection.All of them were confirmed by pathology.Results:There were 63 ovarian endometrial cysts of 32 ovary in 24 patients,unilateral ovarian cysts in 16 cases and bilateral in 8 cases;Single cyst was found in 21 cases,42 cysts in 11 ovaries with multiple cysts;Of these,8 cases had s...
Keywords:Ovary  Endometriosis cyst  Magnetic resonance imaging  Sensitivity  Specificity  
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