MRI常规及3D-SPACE序列在先天性子宫畸形诊断中的应用价值

Evaluation of conventional MRI and 3D-SPACE sequence scanning in the diagnosis of congenital uterine anomalies

目的探讨磁共振成像(MRI)常规及3D-SPACE序列扫描在先天性子宫畸形诊断中的应用价值。方法回顾性分析62例行MRI常规和3D-SPACE序列扫描,并经宫、腹腔镜证实的先天性子宫畸形的MRI资料。结果单角子宫7例,双角子宫8例,双子宫7例,纵隔子宫28例,弓形子宫12例。MRI尤其用3D-SPACE序列扫描可从不同角度观察子宫外形、宫腔结构,尤其对宫底、宫颈及内膜形态。MRI对先天性子宫畸形的诊断准确率为100%。结论 MRI可清晰显示先天性子宫畸形的解剖结构,是诊断先天性子宫畸形的可靠方法,值得临床推广。

Objective To evaluate the conventional magnetic resonance imaging（MRI） and 3D-SPACE sequence scanning in diagnosis of congenital uterine anomalies.Methods Retrospective analysis of MRI findings of 62 cases of congenital uterine anomalies proved by hysteroscopy and laparoscopy was undertaken.Results All together 62 cases,included 7 unicornous uterus,8 bicornous uterus,7 didelphic uterus,28 septate uterus,and 12 arcuate uterus.MRI,especially 3D-SPACE sequence scanning could demonstrate the internal structure and external appearances of the interne in multiple directions,especially for the morphology of fundus,cervix and endometrium.The diagnostic accuracy for congenital uterine anomalies with MRI was nearly 100%.Conclusion MRI with 3D-SPACE sequence scanning can display anatomic structure of uterine anomalies clearly.It is a reliable method and ought to be recommended widely in clinical practice.