MRI在先天性子宫畸形诊断及分型中的临床应用价值  

Clinical application value of MRI in the diagnosis and classifications of congenital uterine malformations

作　　者：汪明月 李逸攀 史延斌 鲁植艳[2] 刘玉[1] WANG Mingyue;LI Yipan;SHI Yanbin;LU Zhiyan;LIU Yu(Medical Imaging Department,The First Affiliated Hospital of USTC,Hefei 230001,China;Department of Radiology,Zhongnan Hospital,Wuhan University,Wuhan 430000,China)

机构地区：[1]中国科学技术大学附属第一医院影像科,安徽合肥230001 [2]武汉大学中南医院放射科,湖北武汉430000

出　　处：《西部医学》2023年第10期1541-1544,共4页Medical Journal of West China

基　　金：2018年度安徽省自然科学基金项目(1808085QH282)。

摘　　要：目的探讨MRI对先天性子宫畸形的诊断价值及对不同分型的鉴别价值。方法纳入2016年7月—2022年2月中国科学技术大学附属第一医院287例疑似先天性子宫畸形患者为研究对象,均给予超声及MRI检查。以宫腔镜检查结果为金标准,分析MRI、超声对先天性子宫畸形的诊断效能及对不同类型先天性子宫畸形的诊断准确率。结果经宫腔镜检查显示,287例患者中先天性子宫畸形239例,其中子宫未发育或发育不良9例、单角子宫与残角子宫腔38例、双子宫53例、双角子宫21例、纵膈子宫111例、弓形子宫5例、管状子宫2例;MRI检查结果与宫腔镜检查结果的一致性(Kappa=0.746)高于超声(Kappa=0.574);MRI诊断先天性子宫畸形的AUC大于超声,诊断准确率高于超声(P<0.05);MRI对纵膈子宫的诊断准确率高于超声(P<0.05)。结论MRI对先天性子宫畸形具有诊断价值,且其对纵膈子宫的诊断准确率较高。Objective To explore the clinical application value of magnetic resonance imaging(MRI)in the diagnosis and classifications of congenital uterine malformations.Methods A total of 287 patients with suspected congenital uterine malformation were enrolled as the research objects from July 2016 to February 2022.All underwent ultrasound and MRI examinations.Taking hysteroscopy results as the golden standard,the diagnostic value and efficiency of MRI and ultrasound for congenital uterine malformations were analyzed.The diagnostic accuracy rates of the two methods for different types of congenital uterine malformations were compared.Results Hysteroscopy showed that in the 287 patients,there were 239 cases with congenital uterine malformations,including 9 cases with non-development or hypoplastic uterus,38 cases with unicornuate uterus and rudimentary horn uterus cavity,53 cases with uterus duplex,21 cases with bicornuate uterus,111 cases with mediastinal uterus,5 cases with arcuate uterus and 2 cases with tubular uterus.The consistency between MRI and hysteroscopy(Kappa=0.746)was greater than that between ultrasound and hysteroscopy(Kappa=0.574).AUC of MRI in the diagnosis of congenital uterine malformations was greater than that of ultrasound,and diagnostic accuracy rate was higher than that of ultrasound(P<0.05).The diagnostic accuracy of MRI for mediastinal uterus was higher than that of ultrasound(P<0.05).Conclusion MRI is of diagnostic value for congenital uterine malformations,and its diagnostic accuracy rate for mediastinal uterus is higher.

关 键 词：磁共振成像 先天性子宫畸形 分型 纵膈子宫 

分 类 号：R711.1[医药卫生—妇产科学]