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目的探讨MRI对子宫内膜异位症的诊断价值。方法回顾性分析60例经手术病理证实的子宫腺肌症及卵巢子宫内膜异位囊肿的MRI影像表现。结果 44例弥漫性子宫腺肌症中20例表现为子宫体积增大呈类球形;局限性子宫腺肌症12例,表现为子宫体部或底部局限性增大和相应部位结合带增厚,与肌层分界不清;16例共21个卵巢子宫内膜异位囊肿,全部病例均经手术及病理证实。结论卵巢子宫内膜异位症的MRI表现具有特征性,能对子宫内膜异位症作出明确诊断。
Objective To investigate the diagnostic value of MRI in endometriosis. Methods A retrospective analysis of 60 cases of pathologically confirmed adenomyosis and ovarian endometriosis cyst MRI images. Results In 44 cases of diffuse adenomyosis, 20 cases presented as spheroid with enlargement of uterus volume. 12 cases of localized adenomyosis manifested as partial enlargement of the uterus or at the bottom and thickening of the junctional area with the corresponding part Myometrial demarcation is unclear; 16 cases of a total of 21 ovarian endometriosis cysts, all cases were confirmed by surgery and pathology. Conclusion The MRI findings of ovarian endometriosis are characteristic and can make a definite diagnosis of endometriosis.