CAJ | 학술논문

目的：探讨MRI成像对女性盆腔疾病的诊断价值，并为临床进一步治疗提供重要参考依据。方法回顾性分析经MRI成像诊断的52例盆腔疾病患者的影像学表现，并与临床手术结果及病理相对比。结果除2例宫颈原位癌未明确显示外，其余肿瘤均显示良好，并且能在术前准确地显示肿瘤的部位、大小与邻近结构的关系。其中宫颈癌、子宫肌瘤、巧克力囊肿、畸胎瘤、卵巢囊腺癌等在MRI上信号具有特征性，手术符合率可达100％；部分卵巢实性肿瘤定性较为困难。结论 MRI影像诊断女性盆腔疾病结果与临床及病理结果相符率较高，具有较高的应用价值，值得临床推广应用。
목적：탐토MRI성상대녀성분강질병적진단개치，병위림상진일보치료제공중요삼고의거。방법회고성분석경MRI성상진단적52례분강질병환자적영상학표현，병여림상수술결과급병리상대비。결과제2례궁경원위암미명학현시외，기여종류균현시량호，병차능재술전준학지현시종류적부위、대소여린근결구적관계。기중궁경암、자궁기류、교극력낭종、기태류、란소낭선암등재MRI상신호구유특정성，수술부합솔가체100％；부분란소실성종류정성교위곤난。결론 MRI영상진단녀성분강질병결과여림상급병리결과상부솔교고，구유교고적응용개치，치득림상추엄응용。
Objective To discuss the diagnostic value of magnetic resonance imaging in treating female pelvic diseases and provide the important reference for further clinical application.Methods Imaging findings of 52 patients with pelvic diseases in MRI examination were retrospectively analyzed and compared with the results of clinic operation and pathology.Results All the tumors displayed good except for 2 cases of cervical carcinoma in situ,which was not clearly displayed,and could accurately show the relationship between tumor locations, size and proximity structure before operation.In the tumors,the signal of cervical cancer,uterine leiomyoma,chocolate cyst,teratoma,ovarian cyst adenoma,etc.in the MRI had characteristics, and the coincidence rate reached 100%.But the qualitative analysis of some ovarian solid tumors was difficult.Conclusion MRI is worthy of clinic application,which has great value because of the highly corresponding rate between the results of MRI imaging diagnosis and pathological examination.