中华消化病与影像杂志（电子版）
中華消化病與影像雜誌（電子版）
중화소화병여영상잡지（전자판）
2015年
4期
13-16
,共4页
王孟丽%赵龙华%徐锐%李建龙
王孟麗%趙龍華%徐銳%李建龍
왕맹려%조룡화%서예%리건룡
子宫%平滑肌瘤%磁共振成像%病理学
子宮%平滑肌瘤%磁共振成像%病理學
자궁%평활기류%자공진성상%병이학
Uterus%Leiomyoma%Magnetic resonance imaging%Pathology
目的：探讨子宫肌瘤的MRI信号与病理组织特点之间的相关性。方法回顾性分析2011年3月至2012年3月山东省日照市人民医院临床诊断为子宫肌瘤行子宫全切或肌瘤剥离的患者60例。所有患者均于术前1～3 d行盆腔MRI扫描，共确诊97个肌瘤。按肌瘤的MRI信号特点分组，并与术后病理结果对照。结果97个肌瘤中，63个肌瘤术前MRI诊断为未变性肌瘤，病理结果证实49个（77．8％，49／63）为未变性肌瘤，10个（15．9％，10／63）为透明样变肌瘤，4个为富于细胞性肌瘤；21个肌瘤术前MRI诊断为富于细胞性肌瘤，病理结果证实13个（62．0％，13／21）为富于细胞性肌瘤，4个（19．0％，4／21）为未变性肌瘤，4个（19．0％，4／21）为透明样变性肌瘤；8个肌瘤术前MRI诊断为黏液样变性肌瘤，病理结果证实7个为黏液样变性肌瘤，1个为富于细胞性肌瘤；3个肌瘤术前MRI诊断为囊性变肌瘤，病理结果证实2个为囊性变肌瘤，1个为黏液样变性肌瘤；2个肌瘤术前MRI诊断为红色变肌瘤，病理结果得以证实。经线性相关分析，子宫肌瘤术前MRI诊断结果与病理结果呈明显相关（R＝0．90）。结论子宫肌瘤的MRI信号与病理组织特点有良好的相关性，可由MRI信号特点判断病理组织类型。。
目的：探討子宮肌瘤的MRI信號與病理組織特點之間的相關性。方法迴顧性分析2011年3月至2012年3月山東省日照市人民醫院臨床診斷為子宮肌瘤行子宮全切或肌瘤剝離的患者60例。所有患者均于術前1～3 d行盆腔MRI掃描，共確診97箇肌瘤。按肌瘤的MRI信號特點分組，併與術後病理結果對照。結果97箇肌瘤中，63箇肌瘤術前MRI診斷為未變性肌瘤，病理結果證實49箇（77．8％，49／63）為未變性肌瘤，10箇（15．9％，10／63）為透明樣變肌瘤，4箇為富于細胞性肌瘤；21箇肌瘤術前MRI診斷為富于細胞性肌瘤，病理結果證實13箇（62．0％，13／21）為富于細胞性肌瘤，4箇（19．0％，4／21）為未變性肌瘤，4箇（19．0％，4／21）為透明樣變性肌瘤；8箇肌瘤術前MRI診斷為黏液樣變性肌瘤，病理結果證實7箇為黏液樣變性肌瘤，1箇為富于細胞性肌瘤；3箇肌瘤術前MRI診斷為囊性變肌瘤，病理結果證實2箇為囊性變肌瘤，1箇為黏液樣變性肌瘤；2箇肌瘤術前MRI診斷為紅色變肌瘤，病理結果得以證實。經線性相關分析，子宮肌瘤術前MRI診斷結果與病理結果呈明顯相關（R＝0．90）。結論子宮肌瘤的MRI信號與病理組織特點有良好的相關性，可由MRI信號特點判斷病理組織類型。。
목적：탐토자궁기류적MRI신호여병리조직특점지간적상관성。방법회고성분석2011년3월지2012년3월산동성일조시인민의원림상진단위자궁기류행자궁전절혹기류박리적환자60례。소유환자균우술전1～3 d행분강MRI소묘，공학진97개기류。안기류적MRI신호특점분조，병여술후병리결과대조。결과97개기류중，63개기류술전MRI진단위미변성기류，병리결과증실49개（77．8％，49／63）위미변성기류，10개（15．9％，10／63）위투명양변기류，4개위부우세포성기류；21개기류술전MRI진단위부우세포성기류，병리결과증실13개（62．0％，13／21）위부우세포성기류，4개（19．0％，4／21）위미변성기류，4개（19．0％，4／21）위투명양변성기류；8개기류술전MRI진단위점액양변성기류，병리결과증실7개위점액양변성기류，1개위부우세포성기류；3개기류술전MRI진단위낭성변기류，병리결과증실2개위낭성변기류，1개위점액양변성기류；2개기류술전MRI진단위홍색변기류，병리결과득이증실。경선성상관분석，자궁기류술전MRI진단결과여병리결과정명현상관（R＝0．90）。결론자궁기류적MRI신호여병리조직특점유량호적상관성，가유MRI신호특점판단병리조직류형。。
Objective To explore the correlation between magnetic resonance imaging (MRI ) signal and pathologic features of uterine fibroids.Methods Sixty cases with uterine fibroids in Rizhao People′s Hospital of Shandong Province from March 201 1 to March 2012 were selected retrospectively.All the patients were performed hysterectomy or myoma dissection 1-3 days after MRI examination,and 97 fibroids were found.Groups were set according to the MRI signal characteristics,and the results were compared with postoperative pathology.Results In the 63 uterine fibroids which were considered as ordinary no degeneration fibroids by MRI examination before operation,49 of them (77.8%)were no degeneration fibroids,10 of them (15.9%)were hyaline degeneration fibroids,4 of them were rich cell fibroids, conformed by pathological method.In the 21 uterine fibroids which were considered as rich cell fibroids by MRI,13 of them (62.0%)were correct results,4 (19.0%)were ordinary no degeneration fibroids,4 (19.0%)were hyaline degeneration fibroids,2 were myxoid degeneration fibroids.In the 8 uterine fibroids which were considered as myxoid degeneration fibroids by MRI,7 of them were correct results,1 was rich cell fibroid.In the 3 uterine fibroids which were considered as cystic degeneration fibroids by MRI,2 of them were correct results,1 was myxoid degeneration fibroids.Two were diagnosed as red degeneration fibroid by MRI,and the results were correct.The linear correlation analysis showed that MRI diagnosis was significantly related to the pathological finding (R =0.90 ).Conclusions The MRI signal has a close correlation with pathologic features of uterine fibroids.The pathological type of fibroids can be judged through MRI signal characteristics.
