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目的:分析女性盆腔囊性占位病变的MRI诊断与临床鉴别。方法:将2014年2月-2015年3月期间收治于我院的病理证实盆腔囊性占位病变患者46例为研究对象,均采用MRI检查,并对MRI的检查情况和诊断进行分析。结果:超声诊断率为93.8%(43/46),MRI诊断率为97.8%(45/46)。在MRI诊断后显示盆腔囊性占位病变多以囊性为主囊实性混杂性块影,粘液性囊腺瘤病灶以及卵巢浆液性囊腺瘤T1WI低信号,T2WI高信号,多为囊性肿块以及多房囊性肿块,会呈现壁结节;增强扫描后会发现分隔、附壁结节有强化。MRI检查发现17例卵巢良性腺瘤、2例囊腺癌、10例卵巢囊肿、3例良性畸胎瘤、4例输卵管妊娠、5例盆腔脓肿、4例转移性肿瘤。结论:针对于盆腔囊性占位病变患者而言选择采用MRI检查能够及时发现病变部位和周边关系,为临床诊断提供有效的诊断信息和依据,而超声则依然应当被用作诊断的主要方法。
Objective: To analyze the MRI diagnosis and clinical differential diagnosis of female pelvic cystic lesions. METHODS: Forty-six patients with pathologically confirmed pelvic cystic lesions admitted to our hospital from February 2014 to March 2015 were selected as the study subjects. MRI examination and MRI examination were performed. Results: The diagnostic rate of ultrasound was 93.8% (43/46), and the diagnostic rate of MRI was 97.8% (45/46). After MRI diagnosis of pelvic cystic lesions showed cystic mainly cystic mixed mass block, mucinous cystadenoma lesions and ovarian serous cystadenoma T1WI low signal, T2WI high signal, mostly cystic Mass and multiple cystic mass, will show wall nodules; enhancement scan will be found after separation, mural nodules have enhanced. MRI examination found 17 cases of benign ovarian adenoma, 2 cases of cystadenocarcinoma, 10 cases of ovarian cysts, 3 cases of benign teratoma, 4 cases of tubal pregnancy, pelvic abscess in 5 cases, 4 cases of metastatic tumors. Conclusion: For the patients with pelvic cystic lesions, the choice of MRI examination can detect the lesion and the peripheral relationship in time, providing effective diagnostic information and basis for clinical diagnosis. Ultrasound should still be used as the main method of diagnosis.