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3.0T MR在卵巢肿瘤 诊断中的临床应用 价值*

作者:杨 锐 刘安陆 赵 年 闵 朋

所属单位:湖北医药学院附属东风医院影像科 (湖北 十堰 442008)

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摘要

目的 分析3.0T MR鉴别诊断卵 巢肿瘤患者的临床结果。方法 对2012年 5月至2015年5月我院收治的40例卵巢肿 瘤患者的临床资料进行回顾性分析。结 果 40例患者中,37例患者的鉴别诊断符 合手术病理结果,达到了92.5%的临床诊 断符合率;15例患者为单纯性卵巢囊肿, 8例患者为卵巢囊性畸胎瘤,6例患者为 卵巢囊腺瘤,5例患者为卵巢子宫内膜异 位囊肿,3例患者为卵巢囊腺癌,3例患 者为卵巢冠囊肿,分别占总数的37.5%、 20.0%、15.0%、12.5%、7.5%、7.5%。卵 巢囊性畸胎瘤、黏液性囊腺瘤、浆液性囊 腺瘤、卵巢冠囊肿的平均瘤体/囊肿直径 分别为(12.5±3.3)cm、(10.5±3.5)cm、 (10.2±3.3)cm、(14.3±3.4)cm。结论 MR能够有效鉴别诊断卵巢肿瘤。

Objective To analyze the clinical outcomes analysis of 3.0T MR in the diagnosis of patients with ovarian cystic lesions. Methods The clinical data of 40 cases of patients with ovarian cystic lesions who were treated in our hospital from May 2012 to May 2015 were retrospectively analyzed. Results Among the 40 cases of patients, 37 cases of patients were in the differential diagnosis in line with the results of pathology, the clinical diagnosis rate reached 92.5%, 15 cases of patients were with simple ovarian cysts, 8 cases of patients were with ovarian cystic teratoma, 6 cases of patients were with ovarian cystadenomas, 5 cases of patients were with ovarian endometriosis cysts, 3 cases of patients were with ovarian cystadenocarcinoma, 3 cases of patients were with ovarian cysts crown, accounting for 37.5%, 20.0%, 15.0%, 12.5%, 7.5%, 7.5% of the total, respectively. The average tumor /cyst diameters of ovarian cystic teratoma, mucinous cystadenoma, serous, crown cyst ovarian were (12.5±3.3) cm, (10.5±3.5) cm, (10.2±3.3) cm, (14.3±3.4) cm. Conclusion MR can effectively diagnose ovarian cystic lesions.

【关键词】MR;卵巢肿瘤;鉴别诊断;临 床结果

【中图分类号】R445.2;R737.31

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2016.09.032

前言

卵巢病变具有繁多的种类,其中囊性病变占总数的60%~70%[1], 缺乏典型的临床表现,主要筛查手段为B超,但是在一些情况下B超很 难将病灶的性质及范围立体呈现出来[2],而MR具有较好的软组织对比 度,能够多方面成像,因此在女性生殖系统的检查中得到了极为广泛 的应用[3]。为了将有效的影像学依据提供给临床对卵巢肿瘤的诊断和 治疗,本研究对2012年5月至2015年5月我院收治的40例卵巢肿瘤患者 的临床资料进行回顾性分析,分析了3.0T MR鉴别诊断卵巢肿瘤患者的 临床结果,现报道如下。