定量动态磁共振在子宫肌瘤射频治疗中的应用价值  

Application value of quantitative dynamic magnetic resonance in radiofrequency therapy of uterine fibroids

作　　者：王俊英[1] 刘佳[1] 董乐[1] WANG Junying;LIU Jia;DONG Le(Department of Radiology,Binzhou Central Hospital,Binzhou,Shandong 251700,China)

机构地区：[1]滨州市中心医院放射科,山东滨州251700

出　　处：《影像研究与医学应用》2023年第14期40-42,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探究定量动态磁共振在子宫肌瘤射频治疗中的应用价值。方法:选取2021年3月—2023年1月滨州市中心医院收治的70例子宫肌瘤患者为研究对象,所有患者均行射频治疗术治疗,术前均常规行定量动态磁共振技术检查,以病理检查结果作为“金标准”,分析定量动态磁共振检查的诊断准确率。结果:70例疑似子宫肌瘤均经“金标准”检查确诊,确诊率为100.0%;与“金标准”相比,定量动态磁共振技术诊断诊断符合率为97.14%。退变型组患者的PUMCH(北京协和医院)模型的K^(trans)值、K_(ep)值、V_(e)值、V_(p)值显著低于普通型,退变型组患者的PUMCH模型的诸值显著低于富细胞型,富细胞型患者的PUMCH模型的诸值显著高于普通型(P<0.001)。普通型及富细胞型、退变型患者术后诸值均低于术前(P<0.05)。结论:定量动态磁共振技术诊断子宫肌瘤患者,可有效提高诊断准确率;同时,通过测量DCE-MRI定量参数,有效评估射频治疗术后情况,具有显著应用价值。Objective To explore the application value of quantitative dynamic magnetic resonance in radiofrequency therapy of uterine fibroids.Methods 70 patients with uterine fibroids admitted to Binzhou Central Hospital from March 2021 to January 2023 were selected as the study objects.All patients were treated with radiofrequency therapy,and were routinely examined by quantitative dynamic magnetic resonance before surgery.The pathological examination results was used as the"gold standard"to analyze the diagnostic accuracy of quantitative dynamic magnetic resonance.Results 70 cases of suspected uterine fibroids were confirmed by"gold standard"examination,the confirmed rate was 100.0%.Compared with the"gold standard",the diagnostic coincidence rate of quantitative dynamic magnetic resonance was 97.14%.The K^(trans) value,K_(ep) value,V_(e) value and V_(p) value of PUMCH model in patients with degenerative type were significantly lower than those of common type,the PUMCH(Peking Union Medical College Hospital)model values of patients in the degenerative group were significantly lower than those in the cellular rich group,the values of PUMCH model in patients with rich cell type were significantly higher than those of common type(P<0.001).The postoperative values of patients with common type,rich cell type and degenerative type were lower than those before surgery(P<0.05).Conclusion Quantitative dynamic magnetic resonance technique can effectively improve the diagnostic accuracy of uterine fibroids.At the same time,the quantitative parameters of DCE-MRI can effectively evaluate the postoperative situation of radiofrequency therapy,which has significant application value.

关 键 词：射频治疗术 定量动态磁共振技术 子宫肌瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学]