Boldyreva O G, Briukhanov A V
Vestn Rentgenol Radiol. 2012 Jul-Aug(4):42-9.
The purpose of the study was to develop the ultrasound study (USS) and magnetic resonance imaging (MRI) semiotics of small pelvic masses after hysterectomy, to comprehensively use USS and MRI for the diagnosis of these masses, and to define indications for MRI. One hundred and seventy-five female patients with small pelvic masses after hysterectomy were examined. For the specification of the pattern of small pelvic masses and their differential diagnosis, USS and MRI were carried out in 175 and 72 patients, respectively. Four groups of the masses were identified; of them there were tumor-like masses of the uterine appendages in 67 (38.2%) patients, ovarian tumors in 31 (17.7%), other additional masses of the small pelvis in 27 (15.4%), and a mixed variant of its masses in 50 (28.5%). The findings suggest that it is reasonable to concurrently use USS and MRI in the diagnosis of small pelvic masses following hysterectomy for the specification of their pattern and their differential diagnosis. The benefit of MRI is that information images of the basic structures of the small pelvis can be obtained in patients with a marked commissural process after hysterectomy in the absence of limitations in large mass sizes. Practical guidelines were proposed to comprehensively use USS and MRI for the diagnosis of small pelvic pathology.
本研究的目的是建立子宫切除术后盆腔小肿块的超声检查（USS）和磁共振成像（MRI）影像学特征，综合运用USS和MRI对这些肿块进行诊断，并明确MRI的适应证。对175例子宫切除术后盆腔小肿块的女性患者进行了检查。为明确盆腔小肿块的类型及其鉴别诊断，分别对175例和72例患者进行了USS和MRI检查。确定了四组肿块；其中67例（38.2%）为子宫附件瘤样肿块，31例（17.7%）为卵巢肿瘤，27例（15.4%）为盆腔其他附加肿块，50例（28.5%）为混合性肿块。研究结果表明，在子宫切除术后盆腔小肿块的诊断中，同时使用USS和MRI来明确其类型及其鉴别诊断是合理的。MRI的优势在于，对于子宫切除术后存在明显粘连且肿块大小无明显限制的患者，可以获得盆腔基本结构的信息图像。提出了综合运用USS和MRI诊断盆腔小病变的实用指南。
