摘要
目的探讨子宫腺肌病的MRI表现及MRI扫描的诊断价值。方法回顾性分析20例经手术病理证实的子宫腺肌病的MRI表现。所有病例均行超声检查,并与术后病理结果相对照。结果20例中,弥漫性子宫腺肌病16例,其中3例合并子宫肌瘤,MRI表现为子宫增大,结合带弥漫性均匀或不均匀增厚达12～43mm。局限性子宫腺肌病4例5个病灶,MRI表现为肌层内与结合带信号强度相近的低信号肿块,边界模糊,与周围肌层分界不清。结论MRI是诊断子宫腺肌病的优越的无创性检查方法,矢状位T2W/TSE是显示病变的最佳扫描序列。
Objective To investigate manifestations of adenomyosis on MRI and itseffectiveness as well. Methods MRI manifestations of 20 cases of adenomyosisconfirmed by both surgery and pathology were studied retrospectively. All cases underwentB-type ultrasonic examination and were compared with the postoperative pathologicalexamination. Results 16 cases were found diffuse adenomyosis, among them 3 caseswere complicated with hysteromyoma, displaying enlarged uterus, diffusely even oruneven thickening as thick as 12～43 mm in junctional zone. 5 lesions were found in 4cases of localized adenomyosis, displaying low-signal masses with blurred border againstsurrounding muscle layer. The masses were in muscle layer and had signal intensitysimilar to that of junctional zone. Conclusion MR imaging is a top non-invasivemethod for diagnosis of adenomyosis, and sagittal T2W/TSE is the best scan sequencefor displaying the lesions.[
出处
《中国CT和MRI杂志》
2005年第3期49-50,共2页
Chinese Journal of CT and MRI
