子宫腺肌病的磁共振成像诊断研究

Magnetic Resonance Imaging Diagnosis of Adenomyosis

目的:评价磁共振成像诊断子宫腺肌病的价值。方法:2014年1月～2017年5月,医院共收治怀疑为子宫腺肌病415例,其中采用MRI诊断65例,以病理组织诊断作为"金标准"。结果:65例对象,病理发现97个病灶、63个为子宫腺肌病病灶或弥漫性子宫腺肌病。MRI检查病灶发现率、子宫腺肌病病灶检出率高于超声,差异有统计学意义(P<0.05)。MRI诊断的子宫腺肌病病灶的灵敏度、阴性预测值、符合率均在95%以上,高于超声,差异有统计学意义(P<0.05)。MRI漏诊位于前壁的局限性病灶1例、1例误诊为子宫肌瘤。子宫腺肌病的ADC低于子宫肌瘤,差异有统计学意义(P<0.05)。结论:磁共振成像诊断子宫腺肌病的价值较高,可发现更多的病灶,鉴别诊断效用较好。

Objective:To evaluate the value of magnetic resonance imaging in the diagnosis of adenomyopathy.Methods :Froni January 2014 to May 2017 ,there were 415 cases suspected of uterine adenomyopathy.In more than 95%,higher than that of ultrasound,the difference was statistically significant (P<0.05) limitations of MRI lesions in 1 cases of missed diagnosis in anterior wall,1 cases were misdiagnosed as uterine fibroids.Adenomyosis ADC lower uterine fibroids,the difference was statistically significant (P<0.05).Conclusion:the higher value of magnetic resonance imaging diagnosis adenomyosis,can detect more lesions,differential diagnosis effect is good.