MRI对剖宫产切口憩室的诊断价值  

Value of MRI in diagnosis of caesarean scar diverticulum

作　　者：田晓梅[1] 陈守真[1] 张国福[1] 朱瑾[1] 谢洁林[1] 王雪珍[1] 

机构地区：[1]复旦大学附属妇产科医院放射科,上海200011

出　　处：《肿瘤影像学》2014年第2期91-94,共4页Oncoradiology

摘　　要：目的探讨MRI在剖宫产术后子宫切口憩室诊治中的价值。方法收集2010年6月—2012年5月在复旦大学附属妇产科医院就诊并行MRI检查的130例有剖宫产史患者的临床资料,并进行回顾性分析。如MRI发现存在剖宫产切口憩室,测量憩室深度、长度、宽度及体积,并描述其形状。如存在异常出血,则采用PBAC方法评估出血情况。结果 130例患者中,72例发现憩室,其中36例憩室位于子宫下段、25例位于子宫峡部、11例位于宫颈内口。憩室形状:半圆形42例、三角形23例、其他7例。72例患者中,33例存在异常出血(45.8%);异常出血与憩室体积、深度显著相关(P=0.04),与长度、宽度及形状无明显相关性。结论 MRI可很好地评价剖宫产切口憩室,切口憩室所致子宫异常出血与其体积相关,与形状无明显相关。Objective To evaluate the value of MRI in the diagnosis of caesarean scar diverticulum. Methods From June 2010 to May 2012, 130 consecutive patients with caesarean operation in our hospital were prospectively underwent MRI examination in order to exclude the suspected scar diverticulum. All MRI data were retrospectively reviewed by two experienced radiologists with consensus reading. If the presence of caesarean scar diverticulum was confirmed, MRI findings of diverticulum including length, width, depth, volume as well as morphology were carefully interpreted and recorded, respectively. For each patient, menstrual blood loss was recorded according to PBAC score. Results On MRI, caesarean scar diverticulum was shown in 72 cases, 36 in lower uterine segment, 25 in isthmus uteri and 11 cases in intracervical mouth. With respect to morphology, 42 cases appeared as half round, 23 cases as triangle and 7 cases in other types. The occurrence of abnormal menstrual blood loss was noticed in 33 cases（45.8%）. The abnormal menstrual blood loss was significantly correlated with the volume of diverticulum（P=0.04）, not with the length, width, and shape. Conclusion MRI could clearly display the caesarean scar diverticulum. The abnormal menstrual blood loss is significantly correlated with the volume instead of the shape of scar diverticulum.

关 键 词：磁共振成像 剖宫产切口憩室 子宫出血 

分 类 号：R445.2[医药卫生—影像医学与核医学]