造影增强磁共振检查(MRI-HG)对于剖宫产后切口憩室(CSD)诊断的临床价值  

The clinical value of the use of MRI-HG in diagnosing the cesarean scar diverticulum

作　　者：谭玮麟[1] 朱家樑[2] 孙明华[2] 汪希鹏[1] 

机构地区：[1]同济大学附属第一妇婴保健院妇产科,上海201204 [2]同济大学附属第一妇婴保健院放射科,上海201204

出　　处：《现代妇产科进展》2017年第2期113-115,共3页Progress in Obstetrics and Gynecology

基　　金：国家自然科学基金项目(No:81372787);上海市科委项目(No:15411961600);上海青年医师培养资助计划

摘　　要：目的:探讨应用磁共振(MRI)检查评估剖宫产后切口憩室(CSD)的大小、肌层厚度的价值。方法:选取2013年1月至2015年1月于上海市第一妇婴保健院行经阴道CSD修补术的患者124例,术前分别行B超、磁共振(MRI)及造影增强磁共振(MRI-HG)检查,比较3者对于CSD长、CSD宽、CSD深、CSD处残余子宫浆肌层厚度的测量值。结果:MRI相较于B超检查,在评估CSD的长、宽方面具有显著优势。MRI-HG较B超及普通MRI,测量CSD的长、宽、深的判断更显著。3者对剖宫产术后CSD处浆肌层的厚度的判断无明显差异。结论:MRI-HG在评估CSD时优于B超和传统MRI检查。Objective： To discuss the value of Magnetic Resonance Imaging（ MRI） in evaluating the size and muscle thickness of the diverticulum caused by cesarean section incision.Method： 124 patients admitted to Shanghai First Maternity and Infant Hospital from Jan.2013 to Jan.2015 for transverginal CSD repair were selected.All these patients took ultrasonography,MRI and MRI-HG before surgery and data of CSD length,CSD width,CSD depth and the thickness of residual uterine serosa and myometrium at CSD were compared. Result： MRI was better than ultrasonography when evaluating CSD length and width.MRI-HG had a more significant effect on judging length,width and depth of CSD than ultrasonography and normal MRI.There was no significance among the 3 examination methods for checking the thickness of residual uterine serosa and myometrium at CSD.Conclusions： MRI-HG is better than ultrasonogrophy and traditional MRI while examing the diverticulum caused by cesarean section incision.

关 键 词：MR 检查剖宫产术 CSD 

分 类 号：R711[医药卫生—妇产科学]