摘要
目的 探讨磁共振检查(MRI)技术在诊断和鉴别子宫腺肌病与子宫肌瘤中的应用效果。方法 选取60例疑似子宫腺肌病或子宫肌瘤患者,均接受MRI、超声检查。以手术病理检查结果作为金标准,比较MRI和超声检查的诊断效能,并分析子宫腺肌病和子宫肌瘤的影像学特点。结果 手术病理检查结果显示,60例疑似患者中,有28例为子宫腺肌病,有32例为子宫肌瘤。MRI诊断子宫腺肌病和子宫肌瘤的敏感度、准确率、特异度高于超声检查(P<0.05)。子宫腺肌病患者以局限型病灶为主,子宫呈广泛性或局部不规则性增大,病灶主要在肌壁外层分布,且具有边缘模糊、形态不规则、无包膜特点,病灶深面结合带受到压力引起变形。子宫肌瘤患者检查发现单发性、多发性病灶数量相似,子宫呈不规则局限性增大,病灶主要在子宫体底部、前壁、后壁、宫角等部位分布,以类圆形或圆形为主,具有清晰边缘,有包膜,病灶深面结合带受到挤压变形。结论 MRI诊断及鉴别子宫腺肌病与子宫肌瘤具有较高的应用价值,可有效提高诊断效能,为临床诊断、鉴别和治疗提供参考信息。
Objective To explore the application effect of magnetic resonance imaging(MRI) in the diagnosis and differentiation of adenomyosis and uterine fibroids.Methods 60 suspected patients with adenomyosis or uterine fibroids were selected and all underwent MRI and ultrasound examinations.Using surgical pathological examination results as the gold standard,compare the diagnostic efficacy of MRI and ultrasound,and analyze the imaging characteristics of adenomyosis and uterine fibroids.Results Of the 60 suspected patients,28 cases of adenomyopathy,32 cases of uterine fibroids.The sensitivity,accuracy and specificity of MRI in the diagnosis of adenomyosis and hysteromyoma were higher than those of ultrasound(P <0.05).The majority of adenomyosis patients were localized lesions,and the uterus showed extensive or local irregular increase.The lesions were mainly distributed in the outer layer of the muscle wall,and were characterized by blurred edges,irregular shape and no envelope.The deep surface of the lesions was deformed due to pressure.The patients with uterine fibroids were found to have similar numbers of single and multiple lesions,and the uterus showed an increased irregular limitation.The lesions were mainly distributed in the bottom of the uterine body,anterior wall,posterior wall,and uterine horn,and were mainly circular or circular,with clear edges and envelopes,and the joint zone of the deep surface of the lesion was compressed and deformed.Conclusion MRI diagnosis and differentiation of adenomyosis and uterine fibroids have high application value,which can effectively improve diagnostic efficiency and provide reference information for clinical diagnosis,differentiation,and treatment.
作者
路宇
Lu Yu(Department of Radiology,Changzhou Second People's Hospital,Changzhou 213000,China)
出处
《实用妇科内分泌电子杂志》
2024年第13期91-93,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
磁共振检查技术
子宫腺肌病
子宫肌瘤
Magnetic resonance imaging technology
Adenomyosis of the uterus
Uterine fibroids
