MRI对于宫腔粘连的诊断价值研究  

Study on the Diagnostic Value of MRI for Intrauterine Adhesions

作　　者：李超[1] 罗守娟[2] 胡宇萍 LI Chao;LUO Shou-juan;HU Yu-ping(Department of Magnetic Resonance,Heilongjiang Provincial Hospital,Harbin,Heilongjiang Province,150036 China;Department of Ultrasound,Heilongjiang Provincial Hospital,Harbin,Heilongjiang Province,150036 China;Department of Nuclear Medicine,the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin,Heilongjiang Province,150036 China)

机构地区：[1]黑龙江省医院磁共振科,黑龙江哈尔滨150036 [2]黑龙江省医院超声科,黑龙江哈尔滨150036 [3]黑龙江中医药大学附属第一医院核医学科,黑龙江哈尔滨150040

出　　处：《中外医疗》2020年第26期192-195,共4页China & Foreign Medical Treatment

摘　　要：目的探究MRI对于宫腔粘连的诊断价值情况。方法方便选择2018年9月—2019年9月来该院接受疾病治疗,经宫腔镜超声检查最终确定为子宫腔粘连的患者30例为研究对象。对其开展MRI检查以及子宫腔镜检查,分析结果。结果增强T1WI:发生粘连的子宫腔线为高信号带,其和子宫肌层信号强度类似。在子宫颈未发生受损影像学来看:部分增强影像为低信号。从平扫T2WI影像学方面来看:发生粘连的宫腔线表现为高信号带,强度下降。为非规则样结合带的信号强度下降,模糊非规则。宫腔镜和MRI对比诊断输卵管开口情况相一致,MRI诊断宫颈线未见、模糊符合率为96.67%。月经恢复:结合带清晰者总有效率为84.21%,结合带不清者总有效率为81.81%(χ^2=5.558,P<0.05)。结论磁共振针对于重度子宫粘连疾病诊断有效率高。其能够和宫腔镜所得出的检查结果相媲美。利用核磁共振检查针对于评价子宫粘连患者疾病严重水平有着相当重要的意义。Objective To explore the diagnostic value of MRI for intrauterine adhesions.Methods From September 2018 to September 2019,30 patients who came to the hospital for treatment of diseases were convenienty selected as the research objects.Perform MRI and hysteroscopy to analyze the results.Results Enhanced T1 WI:The uterine cavity line where adhesion occurred was a high signal zone.It is similar to the signal intensity of the myometrium.From the imaging point of view that the cervix is not damaged,some of the enhanced images are low signal.From the perspective of plain T2 WI imaging,the uterine cavity line with adhesions appears as a high signal zone with a decrease in intensity.The signal strength of the irregular-like binding band decreases,and the irregularity is blurred.The comparison of hysteroscopy and MRI in the diagnosis of fallopian tube openings was consistent,and the coincidence rate of MRI diagnosis of cervical line was not seen and fuzzy was 96.67%.Menstrual recovery:the total effective rate for those with clear combined zone was84.21%,and the total effective rate for those with unclear combined zone was 81.81%.The comparison between the two groups was(χ^2=5.558,P<0.05).Conclusion MRI is highly effective in the diagnosis of severe uterine adhesions.It is comparable to the results obtained by hysteroscopy.The use of MRI is of great significance in evaluating the severity of the disease in patients with uterine adhesions.It is worthy of further promotion.

关 键 词：MRI 宫腔粘连 诊断价值 宫腔镜 

分 类 号：R711.74[医药卫生—妇产科学]