子宫粘膜下肌瘤多参数MRI检查诊断准确度及与宫腔镜结果对照研究  

Diagnostic Accuracy of Multi-parameter MRI Examination for Submucosal Myoma of Uterus and Comparison with Results of Hysteroscopy

作　　者：梅广雄 赵小华 唐移忠 麦连弟 洪晓锋 练有斌 Mei Guang-xiong;Zhao Xiao-hua;Tang Yi-zhong;Mai Lian-di;Hong Xiao-feng;Lian You-bin(Department of Radiology,the Third Affiliated Hospital of Guangdong Medical University(Longjiang hospital,Shunde District,Foshan City),Foshan 528318,Guangdong Province,China;Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Guangdong MedicalUniversity(Longjiang hospital,Shunde District,Foshan City),Foshan 528318,GuangdongProvince,China)

机构地区：[1]广东医科大学附属第三医院(佛山市顺德区龙江医院)放射科,广东佛山528318 [2]广东医科大学附属第三医院(佛山市顺德区龙江医院)妇产科,广东佛山528318

出　　处：《中国CT和MRI杂志》2021年第8期123-125,共3页Chinese Journal of CT and MRI

基　　金：广东省自然科学基金(2017A030313536)。

摘　　要：目的与宫腔镜结果对照研究,分析多参数MRI检查诊断子宫粘膜下肌瘤的准确度。方法选取本院2016年7月至2019年7月收治且经手术或病理学活检确诊的80例子宫粘膜下肌瘤患者作为研究对象,分析肿瘤大小、部位、形态及强化形式等影像学特征,比较MRI、宫腔镜检查诊断子宫粘膜下肌瘤的符合率。结果肿瘤最大直径1.23~5.81cm。病灶部位:宫颈部9例,宫角部10例,宫腔前后壁61例,其中粘膜下肌瘤和子宫内膜息肉并存者10例。子宫粘膜下肌瘤经MRI检查诊断符合率为95.00%,与宫腔镜结果比较无明显差异(P>0.05)。结论MRI与宫腔镜检查均有效诊断子宫粘膜下肌瘤,宫腔镜检查为高效方法,但MRI检查仍有其优势,且无创伤,可将其作为首选检查方法。Objective To compare the results of hysteroscopy and analyze the accuracy of multi-parameter MRI in the diagnosis of submucosal myoma of uterus.Methods Eighty patients with submucosal myoma of uterus admitted to this hospital from July 2016 to July 2019 and were diagnosed by surgery or pathological biopsy were selected as the research objects,and the imaging characteristics such as tumor size,location,shape,and enhancement form were analyzed.To compare the accuracy of MRI and hysteroscopy in diagnosising submucosal myoma of uterus.Results The maximum diameter of the tumor was 1.23cm-5.81cm.The lesion locations were as follows:9 cases were in cervix,10 cases were in uterine corner,61 cases were in anterior and posterior uterine cavity,including 10 cases with submucosal fibroids and endometrial polyps.The accuracy of MRI in the diagnosis of submucosal myoma of uterus was 95.00%.Compared with the results of hysteroscopy,there was no significant difference(P>0.05).Conclusion Both MRI and hysteroscopy are effective in diagnosising submucosal myoma of uterus.Hysteroscopy is an efficient method,but MRI still has its advantages and is non-invasive,so it can be used as the first choice.

关 键 词：子宫粘膜下肌瘤 多参数MRI检查 宫腔镜 

分 类 号：R445.2[医药卫生—影像医学与核医学]