盆腔囊性占位病变的MRI诊断及临床意义探讨

MRI Diagnosis and Clinical Significance of Pelvic Cystic Space Occupying Lesions

目的:探讨核磁共振成像(MRI)应用在盆腔囊性占位病变中的诊断及临床意义。方法:选取我院接诊的经术后病理证实为盆腔囊性占位病变的患者40例进行研究,纳入研究的患者有完整临床资料,自愿接受本次研究,同时术前均进行常规超声与MRI诊断。比较术前超声与MRI诊断符合率,同时总结MRI诊断女性盆腔囊性占位病变的特点。结果:超声术前诊断盆腔囊性占位病变符合率为92.50%,MRI诊断符合率则为97.50%,MRI诊断符合率稍高,但比较无明显差异(P>0.05);MRI诊断主要为囊性或囊性为主的囊实性混杂性块影,诊断结果为卵巢良性囊腺瘤14例、囊腺癌3例、卵巢囊肿8例、卵巢良性畸胎瘤4例、输卵管妊娠6例、盆腔脓肿5例,误诊1例转移性肿瘤为囊腺癌。结论:MRI诊断盆腔囊性占位病变有很高的符合率,同时可清晰显示病变及其周围关系,能为临床诊断与鉴别提供依据,值得借鉴。

Objective： To investigate the clinical significance of magnetic resonance imaging（MRI） in the diagnosis and treatment of pelvic cystic space occupying lesions. Methods： Selected in our hospital admissions by postoperative pathology for pelvic cystic accounted for patients with lesions of the 40 cases, included in the study of patients with complete clinical data, the voluntary acceptance of the study, also before operation were conventional ultrasound and MRI diagnosis. Comparison of preoperative ultrasound and MRI diagnosis coincidence rate, at the same time, the characteristics of MR1 diagnosis of female pelvic cystic lesions were summarized. Results： Preoperative ultrasound diagnosis of pelvic cystic lesions with rate was 92.50%, in line with the MRI diagnosis rate was 97.50%, MRI diagnosis with rate is slightly higher, but there is no significant difference （P〉0.05）; MRI diagnosis of cystic or cystic solid and cystic hybrid block shade. The result of diagnosis is benign ovarian cystadenoma in 14 cases, 3 cases of cystadenocarcinoma, 8 cases of ovarian cyst, 4 cases of ovarian benign teratoma, fallopian tube pregnancy in 6 cases, 5 cases of pelvic abscess, misdiagnosis 1 case of metastatic tumor cystadenocarcinoma. Conclusion： MRI diagnosis of pelvic cystic lesions has a high compliance rate, and can clearly show the lesions and their relationship, can provide a basis for clinical diagnosis and differentiation, it is worth learning from.