CAJ | 학술논문

目的：探讨输卵管积液的 MRI 影像学表现。方法回顾性分析20例(双侧发病11例,共31个病灶)术前行 MRI 检查并经手术病理证实的输卵管积液患者的 MRI 表现,包括输卵管脓肿12例、输卵管积水10例、输卵管卵巢脓肿9例。结果输卵管积液呈弯曲管状、多房状或串珠状形态,尖端指向子宫底。输卵管积脓 MRI 呈等或稍长 T1、长 T2信号、DWI 呈高信号,5例显示液-液平面；输卵管积水以水样信号为主,3例 T1 WI 呈等信号、DWI 呈高信号。输卵管或输卵管卵巢脓肿管壁较厚、强化较明显、周围改变较明显。结论输卵管积液在 MRI 上有一定特征,容易和盆腔其他囊性病变鉴别。
목적：탐토수란관적액적 MRI 영상학표현。방법회고성분석20례(쌍측발병11례,공31개병조)술전행 MRI 검사병경수술병리증실적수란관적액환자적 MRI 표현,포괄수란관농종12례、수란관적수10례、수란관란소농종9례。결과수란관적액정만곡관상、다방상혹천주상형태,첨단지향자궁저。수란관적농 MRI 정등혹초장 T1、장 T2신호、DWI 정고신호,5례현시액-액평면；수란관적수이수양신호위주,3례 T1 WI 정등신호、DWI 정고신호。수란관혹수란관란소농종관벽교후、강화교명현、주위개변교명현。결론수란관적액재 MRI 상유일정특정,용역화분강기타낭성병변감별。
Objective To explore the expression of the hydrosalpinx on MRI imaging.Methods 20 cases with hydrosalpinx con-firmed by operation and patholgoy (1 1 cases of bilateral disease,a total of 31 lesions)were analyzed retrospectively.In 20 cases,12 cases were pyosalpinx,10 cases were hydrosalpinx,and 9 cases were tubo-ovarian abscess.Results The hydrosalpinx had variform appearance on MR imaging,including curved tubular,multi-room-like or beaded form,the tip pointed to uterine horn.Pyosalpinx MRI showed equal or slightly longer T1,long T2 signal,and high signal in DWI.5 cases displayed fluid-fluid level.Hydrosalpinx showed similar water signal,3 cases showed high signal on DWI.The capsule wall of pyosalpinx and tubo-ovarian abscess were thickened and obviously enhanced on contrasted sequence.Conclusion The fallopian tube effusion has obvious features on MRI, which is easy to differentiate from other pelvic cystic lesions.