Cine MRI评价子宫肌瘤患者子宫蠕动

发布时间：2018-04-04 21:43

本文选题：磁共振成像　切入点：电影　出处：《中国医学影像技术》2015年09期

【摘要】：目的采用磁共振电影成像技术(cine MRI)探讨子宫肌瘤患者子宫蠕动异常及其相关因素。方法对60例子宫肌瘤患者及30名健康志愿者于排卵期行盆腔常规T1、T2轴位,T2矢状位及cine MRI扫描;医师A、B分别对cine MRI图像行双盲法评价,评价内容包括子宫是否存在正常蠕动、蠕动方向及频率,医师B记录肌瘤患者子宫及最大肌瘤体积、肌瘤位置及数量;比较肌瘤患者与健康志愿者正常蠕动存在率及蠕动频率,比较肌瘤患者中正常蠕动存在者与不存在者子宫平均体积及肌瘤特点。结果与健康志愿者比较,子宫肌瘤患者正常蠕动存在率及蠕动频率明显降低,差异有统计学意义(P均0.05);存在正常蠕动肌瘤患者子宫平均体积及最大肌瘤平均体积均小于不存在正常蠕动肌瘤患者,前者差异有统计学意义(P=0.043、0.129)。结论子宫肌瘤患者排卵期子宫蠕动明显降低,不利于排卵期精子快速运输至输卵管,可能是其不孕的原因之一;该类患者子宫蠕动异常可能与肌瘤引起子宫体积明显增大相关。
[Abstract]:Objective to investigate the abnormal peristalsis and its related factors in patients with hysteromyoma using magnetic resonance film imaging (MRI).The direction and frequency of peristalsis, the volume of uterus and maximum myoma, the location and quantity of myoma were recorded by physician B. the normal peristalsis rate and peristalsis frequency of patients with leiomyoma were compared with those of healthy volunteers.The mean volume of uterus and the characteristics of myoma were compared between normal peristalsis and non-existence of leiomyoma.Results compared with the healthy volunteers, the normal peristalsis rate and peristalsis frequency in patients with uterine leiomyoma were significantly lower than those in healthy volunteers.Conclusion the uterine peristalsis of uterine leiomyoma patients decreased significantly during ovulation, which may be one of the reasons of infertility, and the abnormal uterine peristalsis may be related to the obvious increase of uterine volume caused by leiomyoma.
【作者单位】：重庆医科大学附属第一医院放射科;
【基金】：国家临床重点专科项目(国卫办医函[2013]544号) 重庆市渝中区科计计划项目(20120211)
【分类号】：R737.33;R445.2

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