MRI成像对子宫内膜癌侵犯肌层的评估_邹艳君.pdfVIP

56 中国现代医药杂志 年 月第 卷第 期 ， ， ， · · 2013 12 15 12 MMJC Dec 2013 Vol 15 No.12 MRI 成像对子宫内膜癌侵犯肌层的评估 邹艳君 肖振平 吕杰文 【摘要】 目的 探讨 对子宫内膜癌肌层浸润深度的评估价值。 方法 回顾性分析 例经分段刮宫并施行手术 MRI 67 治疗的子宫内膜癌患者MRI 表现，并与术后病理结果进行对照。 结果 MRI 判断子宫内膜癌局限于内膜、浸润浅肌层、浸 润深肌层及浸透浆膜层的准确性分别为92.5% 、80.5%、88.0%、80.5% 。结论 磁共振可多方位、多序列、多角度成像，对软组 织有较高分辨率，对准确判断子宫内膜癌肌层有无浸润具有明显优势。 【关键词】 磁共振成像 子宫内膜癌 肌层侵犯 ， ， Evaluation of endometrial carcinoma invading the muscle layer by MRI imaging Zou Yanjun Xiao Zhenping Lv Jiewen. The Eighth College of China Medical University ， General Hospital of Anshan Iron and Steel ， Anshan 114002 【Abstract 】 Objective To access the value of MRI judging the myometrial invasion degree of endometrial cancer. Methods Retrospectively analysed the MRI manifestations of 67 cases with endometrial carcinoma taken fractional curettage and operation treatment ， and compared the results with pathological diagnosis. Results The accuracy of MRI judging en- dometrial cancer confined to the endometrium ， superficial muscular layer infiltration ， infiltration accuracy deep muscle layer and infiltrated serosa layer were 92.5% ， 80.5% ， 88.0% ， 80.5% respectively. Conclusion Magnetic resonance has the maging characteristics of multi orientation ， multi series and multi angle and high resolution to the soft tissue. It has obvious advantages on accurate judgment for endometrial cancer muscle layer with or without infiltratio. 【Key words 】 Magnetic resonance imaging Endometrial carcinoma Myometrial invasion