摘要
目的对行清扫术后的盆腔淋巴结患者行磁共振成像(MRI)检测术后淋巴囊肿,分析其临床表现及特征,并探讨MRI对于术后淋巴囊肿的诊断价值。方法取138例盆腔淋巴囊肿患者为研究对象,对其临床资料进行回顾性分析。对所有患者实施增强扫描合并MRI平扫。结果对本组138例患者术后14 d至3个月后行MRI检测发现,发生于双侧者为36例,右侧单发者为50例,左侧单发者为52例。MRI检测结果均属类圆形或圆形长T1、T2信号,囊壁均匀、较薄,具有清晰边界,其分布沿盆壁伴随走行于髂外静脉与动脉。对囊肿壁行增强扫描后,表现为不均匀/均匀强化。结论 MRI下盆腔淋巴囊肿表现极富特征性,有力支持了诊断盆腔淋巴囊肿,对其鉴别与治疗具有积极意义。
Objective To explore the diagnosis value of magnetic resonance image （MRI） for postoperative lymph0cele through analzing the MRI clinical features of lymphocele, as patients underwent MRI detection of postoperative lymphocele after line dissection of the pelvic lymph nodes. Methods One hundrend and thirty-eight cases of pelvic lymphocele patients were analyzed of clinical data retrospectively. All patients were scaned by MRI and the enhanced scan. Results After 14 days to 3 months, the 138 patients underwent MRI found that occurred in bilateral in 36 cases, the right single 50 cases, the left single 52 cases. MRI test results were round or circular long T1, T2 signal, uniform wall, thin, with a clear boundary, and its distribution along the pelvic wall was accompanied by traveling in the external iliac vein and artery. Uniform / homogeneous enhancement, enhanced scan the cyst wall. Conclusion There are many MRI characteristics of pelvic lymphoeele, which can strongly support the diagnosis of pelvic lymphocele, and it is positive significance for its identification and treatment.
出处
《实用医技杂志》
2013年第9期954-955,共2页
Journal of Practical Medical Techniques
关键词
淋巴囊肿
淋巴结切除术
磁共振成像
Lymphocele
Lymph node excision
Magnetic resonance imaging
