先天性子宫畸形的磁共振表现及诊断价值  

Magnetic resonance findings and diagnostic value of congenital uterine malformations

作　　者：王轩轩 许晓亮[1] 孔德华[2] WANG Xuanxuan;XU Xiaoliang;KONG Dehua(Clinical Medical College of Henan Science and Technology University,The Frist Afflliated Hospital of Henan Science and Technology University,Luoyang 471003,China;The Second Affiliated Hospital of Harbin Medical University,China)

机构地区：[1]河南科技大学临床医学院,河南科技大学第一附属医院,河南洛阳471003 [2]哈尔滨医科大学第二附属医院,黑龙江哈尔滨150000

出　　处：《临床医药实践》2020年第8期616-621,共6页Proceeding of Clinical Medicine

摘　　要：目的:探讨先天性子宫畸形的磁共振成像(MRI)表现,分析MRI对子宫畸形的诊断价值。方法:选择2017年1月—2019年6月诊断为子宫畸形的患者53例,总结分析不同类型子宫畸形的MRI表现,结合宫腔镜或腹腔镜诊断结果,分析MRI对先天性子宫畸形的诊断价值。结果:在先天性子宫畸形的诊断中,MRI与宫腔镜或腹腔镜诊断结果差别不大,差异无统计学意义(P=0.057);诊断结果一致性较好(Kappa=0.458,P<0.001)。结论:MRI是一种简便易行、敏感性高的诊断方法,图像直观清晰,能清楚显示不同类型子宫畸形的宫腔结构及子宫外观形态、各种复杂畸形及并发的其他病变,还可以显示附件及其周围相关病变。Objective:To explore the value of MRI in the diagnosis of congenital uterine malformation.Methods:53 cases of uterine malformation diagnosed from January 2017 to June 2019 were selected,to summarize and analyze the results of MRI diagnosis and hysteroscopy or laparoscopy.Results:Use the χ2 test of the Fishe exact testtest,generally,the exact probability method is used(P=0.057),the difference was not statistically significant,that is,in the diagnosis of congenital uterine malformations,there is little difference between MRI and hysteroscopy or laparoscopy(Kappa=0.458,P<0.001),it can be seen that the diagnostic results of the two methods are in good agreement.Conclusion:In the simple diagnosis of uterine malformations,MRI can basically replace invasive hysteroscopy or laparoscopy,but if treatment is needed,hysteroscopy or laparoscopy is still needed.

关 键 词：先天性子宫畸形 磁共振表现 诊断价值 

分 类 号：R445[医药卫生—影像医学与核医学]