卵巢病变蒂扭转的MRI表现特征及与病理对照分析

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Abstract Objective To evaluate MRI manifestations of ovarian diseases with pedicle torsion and promote the knowledge and diagnostic level. Methods The MRI manifestations of 12 patients with pedicle torsion of ovarian diseases which were confirmed by surgery and pathology from March 2012 to March 2017 in Dongguan Maternal and Child Health Care Hospital were retrospectively analyzed. The twisted pedicles, signal characteristic of the diseases and vascular changes near by the torsion were studied. The MRI manifestations of torsional positio and torsional degrees of pedicle were investigated. Results Twelve patients were benign ovarian lesions. The torsion pedicle which was solid mass-like structures showed irregular long soft tissue (n = 6), with round and circle shape (n = 4), and nodular shape (n = 2), 10 with vascular signal. The lesions were cystic or cystic-solid, which proved eccentric wall thickening, and with hemorrhage. The pedicle torsion was composed of the ovarian ligament and the oviduct (n = 10); the lesion turned in up and down direction (n = 6); the lesion turned in inside and outside direction (n = 4). The pedicle torsion was composed of the ovary between the lesion (n = 2). MRI show cord-like structure, ring like structure with vascular signal diagnosis torsion with diagnostic coincidence was 92% in the combined of eccentric thickening. The wall of the torsional which was twisted half circle was slightly thickened, and 2-5 circles was eccentric wall thickening, 5 circles was most thicken. The artery was enlarged which was twisted 5 circles. Conclusion Ovarian diseases pedicle torsion have some MRI characteristic manifestations, understanding the location of the torsion, distinguishing the severity of torsion (different twisted turns).

Key words： Magnetic resonance imaging Ovary Ovarian diseases Torsion

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	WANG Ya1 WANG Qiang1 ZHENG Xiaoling2 GONG Miaomiao1 YANG Yigang1 WANG Zhong1

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WANG Ya1 WANG Qiang1 ZHENG Xiaoling2 GONG Miaomiao1 YANG Yigang1 WANG Zhong1. Comparative study of MRI and pathological manifestations of ovarian diseases with pedicle torsion[J]. 中国医药导报, 2018, 15(18): 92-95.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I18/92

[1] 黄昌举.彩色多普勒超声对于妇产科急腹症的诊断价值[J].齐齐哈尔医学院学报，2014，35（10）：1465-1466.
[2] 饶敏，潘自来，段娜，等.卵巢蒂扭转的多层螺旋CT诊断[J].中国医学计算机成像，2016，22（4）：327-3307.
[3] Lourcenco AP，Swenson D，Tubbs RJ，et al. Ovarian and tubal torsion：imaging findings on US，CT，and MRI [J]. Emergency Radiology，2014，21（2）：179-187.
[4] Pooai N，Poonai C，Lim R，et al. Pediatric ovarian torsion：Case series and review of the literature [J]. Can J Surg，2013， 56（2）：103-108.
[5] Saski KJ，Miller CE. Adnexal torsion：review of the literature [J]. J Minim Invasive Gynecol，2014，21（2）：196-202.
[6] Lee JH，Park SB，Shin SH，et al. Value of intra-adnexal and extra-adnexal computed tomographic imaging features diagnosing torsion of adnexal tumor [J]. J Comput Assist Tomogr，2009，33（6）：872-876.
[7] 蒋开航，李永容，陈家飞，等.卵巢囊肿蒂扭转的CT和MRI诊断价值[J].局部手术学，2013，22（3）：275-277.
[8] 方如旗，曹代荣，翁淑萍，等.卵巢肿瘤蒂扭转的MRI影像表现（附８例报告）[J].临床放射学，2012，31（5）：684-687.
[9] 丁永刚，蔡金华，秦勇，等.儿童卵巢扭转的MSCT表现[J].中国介入影像与治疗学，2015，12（5）：349-352.
[10] 陈卫鹏，林鹏典，林海韬，等.学龄期儿童卵巢蒂扭转的MRI诊断初探[J].影像诊断与介入放射学，2015，24（5）：421-424.
[11] Duigenan S，Oliva E，Lee SI. Ovarian torsion：diagnostic features on CT and MRI with pathologic correlation [J]. AJR Am J Roentgenol，2012，198（2）：122-131.
[12] Van Kerkhove F，Cannie M，Op de Beeck K，et al. Ovarian torsioin a premenarcheal girl：MRI findings [J]. Abdom Imaging，2007，32（3）：424-427.
[13] 丁永刚，单凯，蔡金华，等.MSCTA辅助儿童卵巢肿瘤蒂扭转定位诊断及精准手术[J].局部手术学，2016，25（8）：577-580.
[14] Sepulveda W，Wong AE，Herrera L，et al. Endoscopic laser coagulation of feeding vessels in large placenta chorioangiomas report of three cases and review of invasive treatment options [J]. Prenat Diagn，2009，29（3）：201-206.
[15] Meltem CO，Cigdem UD，Kaan M，Surgical approach to ovarian torsion in children [J]. J Pediatr Adolesc Gynecol，2015，28（5）：343-347.
[16] 王维刚.MRI在评估宫颈癌浸润范围的临床价值[J].中国医药导报，2009，11（1）：5-9.
[17] 肖慧君，康正武，王俊杰，等.MRI在卵巢纤维卵泡膜细胞瘤诊断中应用的价值[J].中国卫生标准管理，2016，8（19）：128-132.
[18] Kawai N，Kato H，Kanematsu M，et al. Usefulness of T2*-weighted MRI in the detection of adnexal torsion [J]. Acta Raidol Open，2016，5（6）：2058460116645375.PMCID：PMC4948127
[19] Moribata Y，Kido A，Yamaoka T，et al. MR imaging findings of ovarian torsion correlate with pathological hemorrhagic infarction [J]. J Obstet Gynaecol Res，2015，41（9）：1433-1439.
[20] LeeM H，Meyers N，Raptis CA，et al. Interobserver reliability for computed tomography findings of adnexal torsion [J]. Emerg Radiol，2017，24（1）：21-24.