子宫瘢痕憩室MR动态增强与经阴道彩色多普勒超声的临床价值分析

发布时间：2018-05-02 16:27

本文选题：子宫瘢痕憩室 + 经阴道彩色多普勒超声　；参考：《中国医学计算机成像杂志》2017年04期

【摘要】：目的:比较经阴道彩色多普勒超声、磁共振动态增强对剖宫产子宫瘢痕憩室(CSD)的临床诊断价值。方法:回顾性分析经宫腔镜证实的32例同时做过阴道超声与MR的CSD病例,对其声像图及CDFI特点与磁共振动态增强影像学表现,对照手术结果进行回顾性分析。结果:经阴道超声与MR动态增强在CSD诊断中,对发现病变的敏感性基本一致,分别为93.75%和100%,对病灶的诊断准确率MR高于经阴道超声,分别为87.5%和96.87%。结论:经阴道超声检查具有操作简单、费用低、重复性好、无并发症等优势,是诊断CSD的首选方法;MR动态增强其空间分辨力及软组织分辨力高,能直观地了解憩室的形态,对子宫周围组织结构的进行全面的判断分析,不存在检查的"时间窗"问题,可为CSD的诊治提供直观详细的影像学依据。
[Abstract]:Objective: to compare the diagnostic value of transvaginal color Doppler ultrasonography and magnetic resonance dynamic enhancement in CSD of cicatricial diverticulum in cesarean section. Methods: 32 cases of CSD who were confirmed by hysteroscopy were analyzed retrospectively. The sonogram, CDFI features and dynamic enhanced MRI findings were analyzed retrospectively. Results: the sensitivity of transvaginal ultrasound and Mr dynamic enhancement in the diagnosis of CSD was basically the same (93.75% and 100%, respectively). The diagnostic accuracy of Mr was higher than that of transvaginal ultrasound (87.5% and 96.87%, respectively). Conclusion: transvaginal ultrasound has the advantages of simple operation, low cost, good reproducibility and no complications. It is the first choice for diagnosing CSD by dynamic enhancement of spatial resolution and soft tissue resolution, and can directly understand the shape of diverticulum. The comprehensive judgment and analysis of the tissue structure around the uterus does not have the problem of "time window", which can provide the visual and detailed imaging basis for the diagnosis and treatment of CSD.
【作者单位】：苏州大学附属太仓医院影像科;苏州大学附属太仓医院超声科;
【分类号】：R445;R719.8

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