磁共振成像在子宫畸形诊断中的价值  

Diagnostic value of MRI 3D sequence for the congenital malformation of uterine

作　　者：张卓颖[1] 黄群英[1] 孙明华[1] 陆媛媛[1] 王文晶[1] 

机构地区：[1]同济大学附属第一妇婴保健院,上海200040

出　　处：《生殖与避孕》2016年第1期69-74,共6页Reproduction and Contraception

摘　　要：目的:评价磁共振成像(MRI)在不孕症患者先天性子宫畸形诊断中的价值。方法:对临床怀疑有子宫畸形可能的66名不孕患者进行MRI检查,并将三维容积成像序列(Cube序列)所得图像信息进行重建。结果:66名患者中,MRI检测出55例先天性子宫畸形,包括先天性无子宫2例、幼稚子宫1例、单角子宫4例、残角子宫4例、双子宫8例、纵隔子宫30例、弓形子宫5例、双角子宫1例,MRI的后期重建能清晰显示子宫宫体和宫颈、宫腔内外各结构。结论:MRI检查对先天性子宫畸形的诊断准确性为100%,能为临床诊疗提供帮助。Objective： To evaluate the value of magnetic resonance imaging （MR.I） Cube sequence in the diagnosis of infertility patients with congenital uterine malformation. Methods： Totally 66 cases of patients suspected uterine malformations underwent MRI with Cube sequence. And the images of the Cube sequence was rebuilt. Results： Among 66 cases, 55 cases were malformation of uterine, including 2 congenital absence of uterus, 1 puerile uterus, 4 unicornous uteruses, 4 rudimentary horn of uteruses, 8 double uteruses, 30 septate uteruses, 5 arcuate uteruses and 1 uterus bicornis. Three-dimensional （3D） MRI could display the uterine external appearance, internal structure and cervix shape. Conclusion： MRI Cube sequence and 3D reconstruction can correctly diagnose and classify the congenital uterine malformation, it＇s verscity is 100%. MRI can assist the clinical diagnosis and treatment.

关 键 词：先天性子宫畸形 磁共振成像(MRI) 三维重建 不孕症 

分 类 号：R445.2[医药卫生—影像医学与核医学]