1.5T MRI在子宫腺肌症诊断中的应用价值评价
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摘要
目的探讨1.5T MRI在子宫腺肌症诊断中的应用价值。方法选择我院2014年1月～2018年5月确诊的子宫腺肌症患者120例,全部患者接受1.5T MRI诊断和阴道彩超检查,观察比较两种诊断方式诊断准确率,并分析1.5T MRI影像学表现。结果 1.5T MRI诊断准确率96.67%显著高于阴道彩超的90.00%(P <0.05);弥漫性病变54例,局限性病变66例,两种类型MRI表现各具特点。结论在子宫腺肌症临床诊断中,1.5T MRI诊断准确性较高,且具有明显的影像学特征,在子宫腺肌症诊断中发挥重要作用,推荐推广。
Objective To explore the application value of 1.5T MRI in the diagnosis of adenomyosis. Methods One hundred and twenty patients with adenomyosis who were diagnosed in our hospital from January 2014 to May 2018 were selected.All patients underwent 1.5T MRI diagnosis and vaginal color ultrasound.The diagnostic accuracy of the two diagnostic methods was compared and analyzed to analyze 1.5T MRI imaging findings. Results The accuracy rate of 1.5T MRI diagnosis was96.67%,which was significantly higher than 90.00% of vaginal color ultrasound(P < 0.05).There were 54 cases of diffuse lesions and 66 cases of localized lesions.MRI imaging findings of two types showed their own characteristics. Conclusion In the clinical diagnosis of adenomyosis,1.5T MRI has higher diagnostic accuracy and obvious imaging features,which plays an important role in the diagnosis of adenomyosis and is worthy of recommendation and promotion.
Objective To explore the application value of 1.5T MRI in the diagnosis of adenomyosis. Methods One hundred and twenty patients with adenomyosis who were diagnosed in our hospital from January 2014 to May 2018 were selected.All patients underwent 1.5T MRI diagnosis and vaginal color ultrasound.The diagnostic accuracy of the two diagnostic methods was compared and analyzed to analyze 1.5T MRI imaging findings. Results The accuracy rate of 1.5T MRI diagnosis was96.67%,which was significantly higher than 90.00% of vaginal color ultrasound(P < 0.05).There were 54 cases of diffuse lesions and 66 cases of localized lesions.MRI imaging findings of two types showed their own characteristics. Conclusion In the clinical diagnosis of adenomyosis,1.5T MRI has higher diagnostic accuracy and obvious imaging features,which plays an important role in the diagnosis of adenomyosis and is worthy of recommendation and promotion.
引文
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[15]陆海迪,王长梅,强金伟,等.磁共振影像联合带厚度指标与T2WI高信号对子宫腺肌症的诊断价值[J].中国临床医学,2017,24(1):37-42.
[2]Mu Y,Yan R,He J,et al.A comparative study on the effects of 1.5T MRI-and CT-guided interventional therapies on uterine fibroids[J].Pakistan Journal of Medical Sciences,2016,32(5):1082-1086.
[3]段寿生,邝平定.子宫腺肌症MRI临床表现及诊断价值分析[J].医学影像学杂志,2016,26(5):943-946.
[4]毕秋,吕发金,肖智博,等.多参数MRI对子宫平滑肌肉瘤及不典型子宫肌瘤的鉴别诊断[J].磁共振成像,2018,9(2):108-112.
[5]徐阿巧,杨建峰,郑静,等.功能MRI评价子宫肌瘤病理分型及其与免疫组织化学相关性的初步研究[J].临床放射学杂志,2018,37(3):445-450.
[6]郁无瑕,姚伟武,钱朝霞,等.磁共振检查在子宫动脉栓塞术治疗子宫肌瘤疗效评价中的应用[J].诊断学理论与实践,2017,16(2):221-226.
[7]梁立梅.三维彩色多普勒超声诊断子宫肌瘤及子宫腺肌症的临床符合率及诊断价值分析[J].山西医药杂志,2017,46(23):2873-2874.
[8]郑元元,钟志芳,刘敏,等.超声造影强化在子宫肌瘤和子宫腺肌症鉴别诊断中的应用价值[J].医学临床研究,2016,33(12):2368-2371.
[9]徐爱云,桂涛,陶佳,等.子宫腺肌病影像学诊断进展及展望[J].现代中西医结合杂志,2018,27(2):222-225.
[10]杨媛媛,吕富荣.电影磁共振成像技术观察子宫蠕动的研究进展[J].磁共振成像,2017,8(7):547-550.
[11]王铭洁,王峥,王淑梅,等.3.0T MRI在子宫肌瘤及子宫腺肌症中的鉴别诊断价值[J].河北医药,2018,40(8):1231-1233.
[12]仲从兵,李岚,张亦哲,等.声辐射力脉冲成像技术在子宫腺肌症与子宫肌瘤诊断中的临床应用[J].医学影像学杂志,2016,26(5):888-890.
[13]刘芮杞,赵继泉.子宫腺肌症的MRI表现及其诊断价值[J].广西医学,2018,40(9):1097-1098.
[14]陆海迪,强金伟.子宫腺肌症的MRI研究现状及进展[J].实用放射学杂志,2016,32(5):792-795.
[15]陆海迪,王长梅,强金伟,等.磁共振影像联合带厚度指标与T2WI高信号对子宫腺肌症的诊断价值[J].中国临床医学,2017,24(1):37-42.