薄层小视野高分辨MRI联合DCE-MRI半定量分析诊断卵巢肿瘤的应用价值

doi:10.16753/j.cnki.1008-2344.2019.03.009

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摘要 目的：分析薄层小视野高分辨MRI结合DCE-MRI半定量分析对诊断卵巢肿瘤的应用价值。方法：收集我院2015年2月至2017年5月89例经盆腔超声检出病变的卵巢肿瘤患者作为研究对象；所有患者均行常规盆腔MRI平扫、薄层小视野高分辨MRI及DCE-MRI检查，并以手术病理结果作为诊断金标准，计算3种检查方法的诊断准确率。结果：89例卵巢肿瘤中，其中恶性49例，良性40例。薄层小视野高分辨MRI检查的诊断准确率高于常规MRI平扫（P<0.05）；薄层小视野高分辨MRI联合DCE-MRI半定量分析的诊断准确率高于常规MRI联合DEC-MRI检查（P<0.05）。结论：薄层小视野高分辨MRI检查对诊断卵巢肿瘤具有重要的应用价值，并且联合应用DCE-MRI半定量分析可明显提高卵巢肿瘤诊断的准确性，可作为常规检查推广。

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	韩剑剑
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关键词 ：卵巢肿瘤, 薄层小视野, 高分辨磁共振成像, 诊断价值

Abstract：Objective:To analyze the value of high resolution MRI with thin layer small field of vision combined with DCE-MRI in the diagnosis of ovarian tumor. Methods:A total of 89 cases of ovarian tumors detected by pelvic ultrasound in our hospital from Feb 2015 to May 2017 were enrolled. All patients received pelvic MRI scan, high resolution MRI with thin layer small field of vision and DCE-MRI examination. The results of surgical pathology as a diagnostic criteria, the diagnostic accuracy rate of the three test methods was calculated. Results:In 89 patients,there were 49 cases of malignant tumor and 40 cases of benign tumor. The diagnostic accuracy rate of high resolution MRI with thin layer small field of vision was significantly higher than that of conventional MRI (P<0.05). The diagnostic accuracy rate of high resolution MRI with thin layer small field of vision combined with DCE-MRI was significantly higher than that of conventional MRI combined with DEC-MRI. Conclusions:High resolution MRI with thin layer small field of vision in the examination of ovarian tumor has important value. The combined application of high resolution MRI with thin layer small field of vision and DCE-MRI can improve the diagnostic accuracy of ovarian tumor, which can be used as a routine examination.

Key words： ovarian tumor thin layer small field of vision high resolution MRI diagnostic value

收稿日期: 2018-06-11

R445.2

通讯作者: 翟建(1962-),男(汉),主任医师,副教授,研究方向:CT及磁共振诊断.E-mail:yjszhaij@126.com E-mail: yjszhaij@126.com

引用本文:

韩剑剑, 翟建. 薄层小视野高分辨MRI联合DCE-MRI半定量分析诊断卵巢肿瘤的应用价值[J]. 沈阳医学院学报, 2019, 21(3): 221-224,229. HAN Jianjian, ZHAI Jian. Value of high resolution MRI with thin layer small field of vision combinded with DCE-MRI in diagnosis of ovarian tumor. Journal of Shenyang Medical College, 2019, 21(3): 221-224,229.

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http://journal07.magtechjournal.com/syyxyxb/CN/10.16753/j.cnki.1008-2344.2019.03.009 或 http://journal07.magtechjournal.com/syyxyxb/CN/Y2019/V21/I3/221

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