协和医学杂志
協和醫學雜誌
협화의학잡지
MEDICAL JOURNAL OF PEKING UNION MEDICAL COLLEGE HOSPITAL
2014年
2期
170-174
,共5页
腹壁子宫内膜异位症%子宫内膜异位症%磁共振成像
腹壁子宮內膜異位癥%子宮內膜異位癥%磁共振成像
복벽자궁내막이위증%자궁내막이위증%자공진성상
abdominal wall endometriosis%endometriosis%magnetic resonance imaging
目的：探讨腹壁子宫内膜异位症的磁共振成像（ magnetic resonance imaging， MRI）表现特点。方法回顾性分析北京协和医院2008年1月至2013年1月经手术病理证实且行MRI检查的7例腹壁子宫内膜异位症患者的临床资料和MRI检查结果。结果7例腹壁子宫内膜异位症患者中5例单发，2例多发；7例患者共发现病灶10处，7处病灶位于左侧，2处位于正中，1处位于右侧；5处位于皮下及筋膜、未侵及腹壁肌层，4处侵及腹壁肌层，1处累及皮下、筋膜及腹壁肌层；2处病灶与盆腔内部脏器粘连。10处病灶中，9处病灶呈实性， T1WI及T2WI上以等信号或稍高信号为主；1处病灶呈囊性， T1WI呈高信号， T2WI可见“阴影”现象。7例患者有5例合并子宫疾病。结论对于腹壁子宫内膜异位症， MRI不但能准确定位，还能显示病变范围，是术前检查及术后随访的重要方法。
目的：探討腹壁子宮內膜異位癥的磁共振成像（ magnetic resonance imaging， MRI）錶現特點。方法迴顧性分析北京協和醫院2008年1月至2013年1月經手術病理證實且行MRI檢查的7例腹壁子宮內膜異位癥患者的臨床資料和MRI檢查結果。結果7例腹壁子宮內膜異位癥患者中5例單髮，2例多髮；7例患者共髮現病竈10處，7處病竈位于左側，2處位于正中，1處位于右側；5處位于皮下及觔膜、未侵及腹壁肌層，4處侵及腹壁肌層，1處纍及皮下、觔膜及腹壁肌層；2處病竈與盆腔內部髒器粘連。10處病竈中，9處病竈呈實性， T1WI及T2WI上以等信號或稍高信號為主；1處病竈呈囊性， T1WI呈高信號， T2WI可見“陰影”現象。7例患者有5例閤併子宮疾病。結論對于腹壁子宮內膜異位癥， MRI不但能準確定位，還能顯示病變範圍，是術前檢查及術後隨訪的重要方法。
목적：탐토복벽자궁내막이위증적자공진성상（ magnetic resonance imaging， MRI）표현특점。방법회고성분석북경협화의원2008년1월지2013년1월경수술병리증실차행MRI검사적7례복벽자궁내막이위증환자적림상자료화MRI검사결과。결과7례복벽자궁내막이위증환자중5례단발，2례다발；7례환자공발현병조10처，7처병조위우좌측，2처위우정중，1처위우우측；5처위우피하급근막、미침급복벽기층，4처침급복벽기층，1처루급피하、근막급복벽기층；2처병조여분강내부장기점련。10처병조중，9처병조정실성， T1WI급T2WI상이등신호혹초고신호위주；1처병조정낭성， T1WI정고신호， T2WI가견“음영”현상。7례환자유5례합병자궁질병。결론대우복벽자궁내막이위증， MRI불단능준학정위，환능현시병변범위，시술전검사급술후수방적중요방법。
Objective To explore the characteristics of abdominal wall endometriosis (AWE) on magnetic resonance imaging (MRI).Methods The clinical and MRI data of 7 patients with pathologically confirmed AWE in Peking Union Medical College Hospital from January 2008 to January 2013 were retrospectively collected and ana-lyzed.Results Five of the AWE lesions were single and two were multifocal .Ten AWE lesions were found in 7 patients .Seven out of 10 lesions were located in the left , two in the middle , and one in the right .Five lesions were located in the subcutaneous tissue and fascia , the abdominal muscles were invaded in four lesions , and one was lo-cated in the subcutaneous tissue , fascia, and muscle.Endometrial invasion from the scar into the abdominal cavity was observed in two patients , with anterior wall and fundus of the uterus for one patient and anterior wall of bladder for another.Nine lesions were solid and mainly showed isointense or hyperintense signal on T 1WI and T2WI com-pared with muscle with foci of higher intensity on T 2WI.In one patient , a cystic hyperintense lesion was found on T1WI (including shading on T2WI).Coexistent abnormality was observed in five patients , including adenomyosis in two, uterine malformation in one, adenomyosis and uterine malformation in one , and fibroid in one patient. Conclusions MRI manifestations of AWE can provide information on the anatomic locations and the lesion exten-sion.Thus, MRI is an important method for preoperative examination and postoperative follow -up.
