结核性输卵管卵巢肿块患者的磁共振成像表现。
Magnetic resonance imaging findings among women with tubercular tubo-ovarian masses.
机构信息
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Int J Gynaecol Obstet. 2011 Apr;113(1):76-80. doi: 10.1016/j.ijgo.2010.10.021. Epub 2011 Jan 17.
OBJECTIVE
To assess the usefulness of magnetic resonance imaging (MRI) in women with tubercular tubo-ovarian masses.
METHODS
Twenty-four women with a confirmed diagnosis of tubercular tubo-ovarian masses underwent MRI. The findings were compared with laparotomy/laparoscopy results wherever possible.
RESULTS
The mean age was 30.7 years and the mean parity was 1.5. The main symptom in 37.5% of patients was infertility. The MRI findings included unilateral definitive tubo-ovarian masses (n=4 [16.7%]); bilateral definitive tubo-ovarian masses (n=4 [16.7%]); unilateral hydrosalpinx (n=8 [33.3%]); bilateral hydrosalpinx (n=4 [16.7%]); unilateral adnexal cyst (n=4 [16.7%]), tuberculous deposits on the liver (n=1 [4.2%]); and cervical growth (n=1 [4.2%]). Other associated findings were endometriosis (n=2 [8.3%]), inclusion cyst (n=1 [4.2%]), subserous fibroid (n=1 [4.2%]), sacroiliac joint arthritis (n=1 [4.2%]), and enteritis (n=1 [4.2%]).
CONCLUSION
MRI seems to be a useful modality for the diagnosis of tubercular tubo-ovarian masses.
目的
评估磁共振成像（MRI）在结核性输卵管卵巢肿块女性中的应用价值。
方法
24 名经确诊患有结核性输卵管卵巢肿块的女性接受了 MRI 检查。尽可能将检查结果与剖腹手术/腹腔镜检查结果进行比较。
结果
患者的平均年龄为 30.7 岁，平均产次为 1.5。37.5%患者的主要症状为不孕。MRI 检查结果包括单侧明确的输卵管卵巢肿块（n=4[16.7%]）；双侧明确的输卵管卵巢肿块（n=4[16.7%]）；单侧输卵管积水（n=8[33.3%]）；双侧输卵管积水（n=4[16.7%]）；单侧附件囊肿（n=4[16.7%]）；肝结核沉积（n=1[4.2%]）；宫颈赘生物（n=1[4.2%]）。其他相关发现包括子宫内膜异位症（n=2[8.3%]）、包涵囊肿（n=1[4.2%]）、浆膜下肌瘤（n=1[4.2%]）、骶髂关节关节炎（n=1[4.2%]）和肠炎（n=1[4.2%]）。
结论
MRI 似乎是诊断结核性输卵管卵巢肿块的一种有用的方法。
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