目的 探讨磁共振和超声对女性 盆腔囊性病变的诊断价值和诊断优势。方 法 回顾性分析59例经病理证实女性盆腔 囊性病变超声及磁共振影像资料，其中 卵巢良性囊腺瘤6例，囊腺癌2例，卵巢囊 肿31例(单纯囊肿12例，子宫内膜异位囊 肿19例)，囊性畸胎瘤4例，输卵管积液6 例，输卵管妊娠4例，盆腔脓肿6例。结果 超声诊断准确率93.22%(55/59)，磁共振 诊断准确率96.61%(57/59)，两种检查方 法诊断准确率无统计学差异，磁共振不同 序列信号特点能够准确反应病灶内成分及 比邻关系，为手术提供更准确的定性定位 诊断。结论 超声检查价廉方便，仍是女 性盆腔囊性病变的首先检查方法；磁共振 能清晰显示病灶本身及其与周边关系，准 确反应病灶内成分,可提高术前女性盆腔 囊性病变的定性和定位诊断。

Objective To explore the diagnostic value and advantage of magnetic resonance and ultrasonography in the diagnosis of female pelvic cystic lesions. Methods The ultrasound and magnetic resonance imaging data of 59 cases of female pelvic cystic lesions were analyzed retrospectively, which included 6 cases of benign ovarian cystadenoma, 2 cases of cystadenocarcinoma, 31 cases of ovarian cysts (12 cases of simple cysts, 19 cases of endometrial cysts), 4 cases of cystic teratoma, 6 cases of tubal effusion, 4 cases of tubal pregnancy and 6 cases of pelvic abscess. Results The diagnostic accuracy was 93.22 % (55/59) of ultrasound, and the accuracy was 96.61 % (57/59) of MRI, the accuracy of the two methods was not statistically significant. The signal characteristics of MR sequence can accurately reflect the internal components and adjacent results, and can provide more accurate localization diagnosis for the operation. Conclusion The examination of ultrasound is cheap and convenient, and is the first choice examination method of the diagnostic of female pelvic cystic lesions. Magnetic resonance can clearly display the lesion itself and its relationship with peripheral, and it can correctly reflect the internal components of the lesion, which can improve the qualitative and localization diagnosis of female pelvic cystic lesions before operation.