目的 探讨超声、MRI在筛查卵巢 病变患者中的临床应用价值。方法 回顾 性分析我院2015年1月-2016年1月期间收 治的经病理和手术证实的39例卵巢病变患 者的临床、病理、超声、MRI检查资料。 结果 术前14例行超声检查，25例行MRI扫 描检查；超声诊断准确率为85.71%，MRI 诊断准确率为88.00%；超声、MRI扫描检 查准确率均较高，差异无统计学意义(P＞ 0.05)。超声造影显示卵巢浆液性乳头状 囊腺癌患者卵巢可见呈椭圆形囊实混合型 包块，内部无回声或有点状回声，有血流 信号，盆腔内有积液；左右侧输卵管浆液 性囊腺癌可见单右侧卵巢有实质性包块， 内有强回声，血流信号较弱。MRI影像资 料显示卵巢浆液性乳头状囊腺癌患者卵巢 可见呈椭圆形囊实混合型包块，边界模 糊，呈混杂信号，动态增强扫描可见囊壁 厚薄不均及实性部分强化明显；左右侧输 卵管浆液性囊腺癌患者单侧卵巢可见椭圆 形或圆形实质性包块，T1WI呈低信号或 低、等信号，D2WI呈不均匀高信号，动态 增强扫描可见囊壁、囊内片状阴影及实性 部分强化明显。结论 超声、MRI卵巢病变 准确率较高，但仍有待提高；二者影像学 表现有一定的特征性，均可较清晰显示病 变特点，对卵巢病变的筛查及诊断具有重 要的临床价值。

Objective To investigate the clinical application value of ultrasound and MRI in the screening of ovarian lesions. Methods The clinical, pathological, ultrasonic and MRI data of 39 patients with ovarian lesions confirmed by pathology and surgery who were admitted into our hospital between January 2015 and January 2016 were retrospectively analyzed. Results Before surgery, 14 cases underwent ultrasound examination and 25 cases underwent MRI scan. The diagnostic accuracy of ultrasound was 85.71% while of MRI was 88.00% (P＞0.05). Ultrasound contrast showed that there were oval cystic and solid mixed masses in ovaries of patients with ovarian serous papillary cystadenocarcinoma, without internal echo or with punctate echoes, with blood flow signals and pelvic effusion. Left and right side ovarian serous papillary cystadenocarcinoma showed that there were solid masses in right ovary, with strong echo and weak blood flow signal. MRI data showed that there were oval cystic and solid mixed masses in ovaries of patients with ovarian serous papillary cystadenocarcinoma, with fuzzy boundaries, showing mixed signal and dynamic enhanced scan showed inhomogenous cystic wall and localized obvious enhancement in solid parts; In ovaries of patients with left and right side fallopian tube serous cystadenocarcinoma, there were oval or circular solid masses. T1WI showed low signal or low and equal signal, and D2WI showed inhomogeneous high signal. Dynamic enhanced scan showed that there was obvious enhancement in cystic wall, intracapsular patchy shadows and solid parts. Conclusion The accuracy rates of ultrasound and MRI in diagnosis of ovarian lesions are high but still need to be improved; The findings of the two imaging methods has certain characteristics. All can clearly show the characteristics of lesions, which is of important clinical value in screening and diagnosis of ovarian lesions.