B超及MRI在Ⅲ-Ⅳ期子宫内膜异位症的诊断价值  

Value of B ultrasound and magnetic resonance imaging in the diagnosis of stage Ⅲ-Ⅳ endometriosis

作　　者：汤伟伟[1,2,3] 黄美华[1,2,3] 朱利[1,2,3] 张蕾[1,2,3] 马小平[1,2,3] 成臣 万贵平[1,2,3] 

机构地区：[1]中国中医科学院江苏分院 [2]江苏省中西医结合医院 [3]南京中医药大学附属中西医结合医院妇产科,江苏省210028

出　　处：《江苏医药》2015年第4期415-417,共3页Jiangsu Medical Journal

基　　金：江苏省自然科学基金(BK20131457);中国中医科学院江苏分院院级课题(JSBN1304;JSBY1309)

摘　　要：目的比较B超和MRI在诊断Ⅲ-Ⅳ期子宫内膜异位症中的价值。方法回顾性分析39例经腹腔镜手术、组织病理证实为Ⅲ-Ⅳ期子宫内膜异位症的临床资料。比较两种诊断方法的敏感性。结果 B超诊断Ⅲ-Ⅳ期子宫内膜异位症的异位内膜囊肿、腹腔内膜异位种植和盆腔粘连的敏感性分别为76.92%、5.13%和0,MRI的敏感性分别为89.74%、38.46%和43.59%。结论 B超可作为诊断Ⅲ-Ⅳ期子宫内膜异位症的一线方法,MRI可作为二线选择。Objective To compare the value of B ultrasound and magnetic resonance imaging（MRI）in the diagnosis of stage Ⅲ-Ⅳ endometriosis.Methods Data of 39 patients pathologically confirmed as stage Ⅲ-Ⅳ endometriosis were retrospectively analyzed.All patients underwent B ultrasound and MRI examination.The sensitivity in the diagnosis of endometriosis was compared.Results The sensitivities in the diagnosis of ectopic endometrium cysts,peritoneal endometriosis planting and pelvic adhesions by B ultrasound were 76.92%,5.13% and 0,respectively,which by MRI were 89.74%,38.46% and 43.59%.Conclusion B ultrasound may be taken as the first-line diagnostic technique and MRI as second-line method in the diagnosis of stageⅢ-Ⅳ endometriosis.

关 键 词：子宫内膜异位症 磁共振 B超 

分 类 号：R737[医药卫生—肿瘤]