MRI在不同栓塞策略UAE治疗子宫腺肌症术后效果的评价  

Value of MRI on evaluation of postoperative effects in UAE treatment of adenomyosis using different embolization strategies

作　　者：刘臻[1] 刘笑默 LIU Zhen;LIU Xiao-mo(Shengjing Hospital,China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院,辽宁沈阳110004

出　　处：《中国临床医学影像杂志》2023年第10期741-744,共4页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨MRI作为不同的子宫动脉栓塞术(UAE)栓塞策略术后效果的评价方式,分析其评价指标及效果。方法:收集以序贯栓塞和等径栓塞两种策略的UAE治疗子宫腺肌症的病例,回顾其临床资料及术前术后的MRI影像资料,并进行对比分析。结果:得到27例序贯栓塞与24例等径栓塞患者资料,对比两者术后3月的子宫大小、结合带最大厚度、信号不均的肌层囊性结构范围及不均匀强化病灶范围等MRI测量指标,存在显著差异。盆腔压迫症状比例存在显著差异,视觉模拟评分法(VAS)、月经量无统计学差异。结论:MRI可作为不同栓塞策略UAE治疗子宫腺肌症的客观评价方式。Objective:To explore the evaluation of MRI on a different UAE embolization strategy for postoperative efficacy,and analyze its evaluation indicators and effectiveness.Methods:Cases of uterine adenomyosis treated with UAE using sequential embolization and isodiametric embolization strategies were collected.Their clinical data and preoperative and postoperative MRI imaging data were reviewed,and comparative analysis was conducted.Results:Data were obtained from 27 cases with sequential embolization and 24 cases with isodiameter embolization.Significant differences were observed in MRI measurement indicators such as uterine size,maximum thickness of the junctional zone,range of myometrial cysts with uneven signals,and range of unevenly enhanced lesions between the two groups at 3 months after UAE.There was a significant difference in the proportion of pelvic compression symptoms,but there was no statistical difference in VAS and menstrual volume.Conclusion:MRI can serve as an objective evaluation method for UAE treatment of adenomyosis with different embolization strategies.

关 键 词：子宫腺肌病 栓塞 磁共振成像 放射学 介入性 

分 类 号：R737.33[医药卫生—肿瘤] R445.2[医药卫生—临床医学] R815