CAJ | 학술논문

目的：探讨M RI在诊断卵巢蒂扭转中的应用价值。方法回顾性分析13例经手术病理证实的卵巢蒂扭转患者的M RI表现特点，提高对本病的认识。结果本组13例中，原发性卵巢蒂扭转3例；继发性卵巢蒂扭转10例：卵巢单纯性囊肿5例，卵巢巧克力囊肿2例，卵巢浆液性囊性腺纤维瘤、卵巢卵泡膜纤维瘤及卵巢畸胎瘤各1例。M RI均表现为盆腹腔区异常信号肿块。肿块局部与一侧宫角及附件相连12例，另1例为2月婴儿，子宫显示不清。扭转的卵巢蒂呈典型结节征（或漩涡征）5例，悬挂征4例，三角征4例。合并盆腔积液6例，妊娠1例，子宫肌瘤1例，对侧卵巢巧克力囊肿1例。结论卵巢蒂扭转的M RI表现具有一定特征，是超声等检查的有益补充。
목적：탐토M RI재진단란소체뉴전중적응용개치。방법회고성분석13례경수술병리증실적란소체뉴전환자적M RI표현특점，제고대본병적인식。결과본조13례중，원발성란소체뉴전3례；계발성란소체뉴전10례：란소단순성낭종5례，란소교극력낭종2례，란소장액성낭성선섬유류、란소란포막섬유류급란소기태류각1례。M RI균표현위분복강구이상신호종괴。종괴국부여일측궁각급부건상련12례，령1례위2월영인，자궁현시불청。뉴전적란소체정전형결절정（혹선와정）5례，현괘정4례，삼각정4례。합병분강적액6례，임신1례，자궁기류1례，대측란소교극력낭종1례。결론란소체뉴전적M RI표현구유일정특정，시초성등검사적유익보충。
Objective To investigate the diagnostic value of magnetic resonance imaging (MRI) for ovarian pedicle tor-sion .Methods 13 cases of ovarian pedicle torsion confirmed by surgery pathology were reviewed retrospectively ,so as to improve the knowledge of it .Results In 13 cases ,there were primary ovarian torsion (n=3) and secondary ovarian tor-sion (n=10) .The secondary ovarian torsion included simple ovarian cyst (n=5) ,ovarian chocolate cyst (n=2) ,ovarian serous cystic fibroid (n=1) ,ovarian theca fibroma (n=1) ,and ovarian teratoma (n=1) .MRI demonstrated abnormal masses in abdominal area in 13 cases .It connected with one side uterine horn and accessories in 12 cases of masses .1 in-fant of 2 month could not provide a clear imaging of the uterine .The ovarian pedicle torsion presented typical “whirlpool sign” (n=5) ,“suspension sign” (n=4) ,and“triangle sign” (n=4) .It complicated with pelvic effusion (n=6) ,gesta-tion (n=1) ,fibroid (n=1) and chocolate cyst of contra-lateral ovary (n=1) .Conclusion MRI performances of ovarian pedicle torsion have certain characteristics .MRI examination is a beneficial supplement to ultrasound .