磁共振成像在急性盆腔炎中的应用价值

Application value of MRI in acute pelvic inflammatory

目的回顾急性盆腔炎的磁共振成像(MRI)表现,以便确保及时诊断,促进最佳治疗。方法对26例急性盆腔炎进行回顾分析,观察病变分布特征及MRI表现。结果26例盆腔炎患者MRI检查中,发现卵巢脓肿11例,输卵管炎、输卵管积液或积脓23例,盆腔结缔组织炎2例,盆腔腹膜炎1例。脓肿表现为等T1长T2信号,弥散加权成像(DWI)呈特征性高信号。盆腔结缔组织炎及骨膜炎表现为T2压脂像及DWI高信号。结论MRI的广泛应用可以对急性盆腔炎进行敏感的无创性检查,认识急性盆腔炎的常见表现有助于早期诊断及治疗。

Objective To review the MRI findings of acute pelvic inflammatory,so as to ensure timely diagnosis and promote the best treatment.Methods Twenty six cases with acute pelvic inflammatory were retrospectively analyzed,and the distribution characteristics of lesions and MR manifestations were observed.Result Of 26 cases with pelvic inflammatory,there were 11 cases with ovarian abscess,23 cases with salpingitis,hydrosalpinx or empyema,2 cases with pelvic connective tissue inflammation and 1 case with pelvic peritonitis.The abscess showed equal T1 long T2 signal and characteristic high signal on DWI.Pelvic connective tissue inflammation and periostitis showed T2 fat pressure and high signal intensity on DWI.Conclusion The extensive application of MR can be a sensitive and noninvasive examination for acute pelvic inflammatory disease.Understanding the common manifestations of acute pelvic inflammatory disease is helpful for early diagnosis and treatment.