摘要
目的探讨子宫肌瘤的低场MRI影像学特征及诊断价值。方法回顾性分析本院2014年12月至2016年1月接受诊治并经手术病理确认的76例子宫肌瘤患者的临床资料和磁共振影像资料,并对患者病灶的类型、及强化程度等病理特征进行归类分析。结果 76例患者中肌壁间肌瘤患者占总数39.5%,浆膜下型占总数39.5%,黏膜下肌瘤型占总数21.1%。MRI扫描显示:T1、T2加权成像信号分别以等、低为主,信号欠均匀,边界模糊,大小约为5.7×4.5×7.4cm。增强扫描影像显示:子宫前壁的强化程度不均匀,与周围分界不清;延迟期病变强化程度低于周围正常肌壁。病理确认结果显示:MRI扫描对子宫肌瘤患者的总检出率在90%以上。结论在子宫肌瘤的诊断方面,MRI增强扫描具有较高的精度,可以作进一步推广应用。
Objective To make a thorough inquiry about the characteristics and diagnostic value of low-field MRI imaging in the diagnosis of uterine myoma.Methods Retrospective analysis of MRI data of 76 patients in our hospital with uterine fibroids identified by surgery from December 2014 to January 2016.And the distribution,enhancement degree and type of the malignant transformation of the patients were analyzed and classified.Results In 76 cases,the patients with muscle wall fibroids patients accounted for 39.5%of the total,the type of film account for 39.5%and the number of submucosal myoma accounted for 21.1%of the total.The image of MRI scanning display that the signals of T1 weighted is isointense.And then the signals of T2 weighted is low.The signal is less uniform and the boundary is fuzzy.And the size is 5.7×4.5×7.4cm.In enhanced scan,the lesions in the anterior wall of the uterus increased obviously,and the boundary was not clear,and the degree of enhancement of the lesion was less than that of the surrounding normal muscle wall.The results confirmed by pathology shows that the total detetion rate of the patients with uterine myoma is 90%or more.Conclusion In the judging the patients with uterine myoma,MRI scanning and enhanced scan can give accurate location,thus it can be used in the field of uterine myoma detection for further promotion and application.
作者
代敏
DAI Min(Yingcheng People's Hospital,Xiaogan 432400,Hubei Province,China)
出处
《中国CT和MRI杂志》
2017年第12期93-95,共3页
Chinese Journal of CT and MRI
关键词
MRI
子宫肌瘤
影像特征
应用价值
MRI
Uterine Myoma
Imaging Features
Application Value
