摘要
目的 :观察 MRI在子宫腺肌症诊断中的价值。方法 :对 32例经手术病理证实的子宫腺肌症患者行 MRI检查。结果 :弥漫性子宫腺肌症 15例 ,在 T2 WI上表现为子宫结合带弥漫性增厚。局限性子宫腺肌症 17例 ,在 T2 WI上表现为与结合带信号相近的低信号肿块影 ,边界不清 ,仅 1例病灶边界相对较清。本组 32例低信号病灶 ,病理学上为增生肥大的平滑肌 ,其内散在的点状高信号灶为异位内膜岛。结论 :MRI能对子宫腺肌症作出明确诊断 ,并在其诊断和鉴别诊断中有着重要作用。
Objective:To study the diagnostic value of MRI in uterine adenomyosis. Methods: MRI examination was performed on 32 cases with pathologically proven uterine adenomyosis. Results: Fifteen diffuse uterine adenomyoses showed diffusely thickened junctional zone (JZ) on T 2WI. Seventeen focal uterine adenomyoses displayed hypo-intensive masses like the intensity of JZ on T 2WI, and all but one showed ill-defined margins. The hypo-intensive lesions in 32 cases corresponded to the hyperplastic and hypertrophic musculature, and the hyper-intensive foci within the hypo-intensive lesions were the heterotopic endometrial islands. Conclusion: MRI is very useful in the diagnosis and differential diagnosis of uterine adenomyosis.
出处
《广东医学院学报》
2005年第1期25-26,29,共3页
Journal of Guangdong Medical College
关键词
子宫腺肌症
磁共振成像
回顾性研究
uterine adenomyosis
magnetic resonance imaging
retrospective study
