CAJ | 학술논문

目的：分析老年性子宫内膜息肉(EMP)MR 表现并与病理结果进行对照,以提高对老年性 EMP 的 MR 诊断。方法回顾性分析本院确诊为 EMP 的58例患者的 MR 表现,与诊断性刮宫或子宫切除术后病理检查结果进行对照分析。结果58例患者中,46例表现为宫腔扩大,12例宫腔无明显扩大；35例宫腔内充填类囊泡状囊实性病变,MR 表现为 T1 WI 低信号、T2 WI 高低混杂信号影及低信号线样分隔影,增强 MR 呈明显不均匀强化；23例宫腔信号不均匀,MR 表现为 T1 WI 等或低信号,T2 WI 等或高信号影,增强 MR 呈大部分无明显强化,少许絮状中度强化影,所有病变均与子宫内膜结构分界不清。结论老年性 EMP 的 MR 表现具有一定的影像学特征性,结合临床,能够做出正确诊断。
목적：분석노년성자궁내막식육(EMP)MR 표현병여병리결과진행대조,이제고대노년성 EMP 적 MR 진단。방법회고성분석본원학진위 EMP 적58례환자적 MR 표현,여진단성괄궁혹자궁절제술후병리검사결과진행대조분석。결과58례환자중,46례표현위궁강확대,12례궁강무명현확대；35례궁강내충전류낭포상낭실성병변,MR 표현위 T1 WI 저신호、T2 WI 고저혼잡신호영급저신호선양분격영,증강 MR 정명현불균균강화；23례궁강신호불균균,MR 표현위 T1 WI 등혹저신호,T2 WI 등혹고신호영,증강 MR 정대부분무명현강화,소허서상중도강화영,소유병변균여자궁내막결구분계불청。결론노년성 EMP 적 MR 표현구유일정적영상학특정성,결합림상,능구주출정학진단。
Objective To analyze the MRI features of senile endometrial polyp and compared MRI features with pathological find-ings,to improve the ability for the diagnosis.Methods The study included 58 cases with senile endometrial polyp proved by diag-nostic curettage or hysterectomy.MRI and pathological findings were analyzed retrospectively.Results Among 58 cases,there were 46 cases with and 12 cases without uterine cavity enlargement.Lesion combined solid portions with cryptomere cystics areas filled in uterine cavity in 35 cases,and MRI showed hypointensity on T1 WI,mixed intensity with hypointensity separation lines on T2 WI, and marked heterogeneous enhancement.The signal of uterine cavity was heterogeneous in 23 cases with hypointensity or isointensi-ty on T1 WI,hyperintensity or isointensity on T2 WI,and no obviously enhancement.Conclusion MRI combined with clinical fea-tures can improve the diagnostic accuracy of senile endometrial polyp.