目的：分析动态增强MRI在子宫内膜癌的诊断以及分期中的应用价值。方法对50例子宫内膜癌患者在手术前进行MRI平扫以及动态增强检查，在MRI上观察肿瘤信号的相关特点，并根据FIGO进行分期，与手术病理检查结果进行对比。结果关于子宫内膜的表现为：患者的子宫增大，子宫内膜出现不规则增厚的现象。增强后患者肿瘤呈重度强化现象，其强化的程度要比子宫肌层要低。动态MRI对子宫内内膜癌的准确率为82.0%。结论MRI能够多方位显示子宫内膜癌的范围和深度，对于子宫内膜癌在手术前的定位具有较高价值，值得在临床上进行推广。%Objective Analysis of dynamic enhanced MRI in the diagnosis of endometrial cancer and application value in staging. Methods Enhanced examination of 50 cases of endometrial cancer patients underwent MRI plain scan and dynamic before the operation, observe the relevant characteristics of tumor signal on MRI, and according to the FIGO staging, pathological examination results were compared with operation. Results On the endometrium showed: Patients with uterine enlargement, endometrial irregular thickening. Enhanced tumor patients showed severe hardening phenomenon, its intensity than in myometrium to low. Dynamic MRI accuracy rate of uterine endometrial carcinoma was 82%. Conclusion MRI can be displayed in the range and depth of endometrial carcinoma, endometrial carcinoma has a higher value for the location before operation, worth in clinical promotion.
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