摘要
目的 探讨卵巢子宫内膜畀位囊肿MRI表现与临床、手术、病理结果的相关性。材料与方法 回顾性研究45例137个卵巢子宫内膜异位囊肿MRI表现,全部病例均经手术病理证实。结果 45例中15例单发,30例多发;62个囊肿T1WI、T2WI均为高信号;37个T1WI高、等混杂信号,T2WI高信号;21个T1WI低信号,T2WI高信号;21例大囊肿周围伴有小囊肿;28例囊壁增厚,边界欠清。结论 MRI表现异位囊肿内的信号变化、大囊肿伴小囊肿、囊肿周围粘连征象与手术结果和临床表现具有明显的相关性,是本病极其有用的非创伤性检查手段。
Objective To study the relationship between the features of MRI, clinical manifests and pathological result in the patients with ovarian endometriosis. Methods 45 cases with 137 ovarian endometriosis were analyzed of MRI features retrospectively, all patients were verified by the pathology after surgery. Results 15 patients had single cyst and 30 patients had two or more cysts. 62 cysts showed high signal on T1WI and T2WI, 37 cysts showed high or mixed high and low signal on T1WI, high signal on T2WI. 21 cysts were found low signal on T1WI but high signal on T2WI. We also found small cysts around big cysts in 21 cases, 28 cysts presented as thick wall and un-defined border. Conclusions The characteristic of signal changes, big cyst with small cysts and adhesion around cysts on MRI correlates significantly with the clinical manifests and pathological diagnosis, which is a very valuable feature without invaded examination on the diagnosis of ovarian endometriosis.
出处
《上海医学影像》
2003年第1期70-72,共3页
Shanghai Medical Imaging
