三维动态MR子宫输卵管造影技术在不孕症中的应用研究  

Application of Three-Dimensional Dynamic MR Hysterosalpingography in Infertility

作　　者：陈岩[1] 于小利 王绍娟[1] CHEN Yan;YU Xiaoli;WANG Shaojuan(Department of Radiology, Jiangsu Province Hospital of TCM, Nanjing Jiangsu 210029, China)

机构地区：[1]南京中医药大学附属江苏省中医院放射科,江苏南京210029

出　　处：《中国医疗设备》2018年第12期77-80,共4页China Medical Devices

摘　　要：目的研究基于FLASH技术的3D动态MR-HSG技术联合多参数MR成像对女性不孕症的临床诊断价值。方法收集53名行常规MR成像平扫及三维动态MR子宫输卵管造影术的临床不孕症患者资料,对其成像质量进行评价,对不孕症的MR诊断结果进行统计分析。结果满足诊断的MR子宫输卵管造影成功率为100%;图像质量评价全部为优或良,两医生主观评价具有一致性(Kappa值=0.882)。根据动态扫描对比剂在输卵管伞部及卵巢周围弥散显影的时间判断输卵管的通畅程度。结论基于FLASH技术的3D DMR-HSG技术联合多参数MR成像对女性不孕症的临床诊断具有较高的价值。Objective To study the clinical diagnostic value of3D dynamic MR-HSG technology based on FLASH technology combined with multi-parameter MR imaging for female infertility.Methods The data of53patients with clinical infertility were collected by routine MR scan and three-dimensional dynamic MR hysterosalpingography.The imaging quality of the patients was evaluated,and the results of MR diagnosis of infertility were statistically analyzed.Results The successful rate of MR hysterosalpingography was100%.The evaluation of image quality was excellent or good,and the subjective evaluation of two doctors was consistent(Kappa value=0.882).Based on the time of contrast medium diffusion in the umbrella and around the ovary,the patency of fallopian tubes was judged.Among106fallopian tubes,60were unobstructed,14were partially unblocked and32were obstructed.Conclusion The3D dynamic MR-HSG technology based on FLASH technology combined with multi-parameter MR imaging is of high value in the clinical diagnosis of female infertility.

关 键 词：磁共振子宫输卵管造影 磁共振成像 不孕症 输卵管阻塞 

分 类 号：R445.2[医药卫生—影像医学与核医学]