中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
26期
79-80
,共2页
子宫腺肌病%MRI(磁共振)%US(超声)%诊断价值
子宮腺肌病%MRI(磁共振)%US(超聲)%診斷價值
자궁선기병%MRI(자공진)%US(초성)%진단개치
adenomyosis%MRI (Magnetic Resonance Imaging)%US (Ultrasound)%diagnostic value
目的比较MRI和US在子宫腺肌病中诊断价值，探讨两种方法对子宫腺肌病（AD）应用价值。方法对我院妇科门诊收集的82例疑似AD患者均行MRI和US检查。观察US和MRI表现，术后行病理学检查作为对比。结果82例疑似AD患者病理组织学检查，确诊子宫腺肌病38例，子宫肌瘤42例，子宫血管瘤2例。MRI与病理对照后，确诊子宫腺肌病35例，误诊1例，漏诊2例，诊断符合率92.1%，误诊率2.6%，漏诊率5.3%；US与病理对照后，确诊子宫腺肌病31例，误诊4例，漏诊7例，诊断符合率81.6%，误诊率10.5%，漏诊率18.4%，二者对比差异有统计学意义（P＜0.05）。结论 MRI诊断子宫腺肌病敏感性、特异性、准确性明显优于US，且对子宫结构显示更为清晰，还可进行定性、定位诊断，临床实用价值更突出。
目的比較MRI和US在子宮腺肌病中診斷價值，探討兩種方法對子宮腺肌病（AD）應用價值。方法對我院婦科門診收集的82例疑似AD患者均行MRI和US檢查。觀察US和MRI錶現，術後行病理學檢查作為對比。結果82例疑似AD患者病理組織學檢查，確診子宮腺肌病38例，子宮肌瘤42例，子宮血管瘤2例。MRI與病理對照後，確診子宮腺肌病35例，誤診1例，漏診2例，診斷符閤率92.1%，誤診率2.6%，漏診率5.3%；US與病理對照後，確診子宮腺肌病31例，誤診4例，漏診7例，診斷符閤率81.6%，誤診率10.5%，漏診率18.4%，二者對比差異有統計學意義（P＜0.05）。結論 MRI診斷子宮腺肌病敏感性、特異性、準確性明顯優于US，且對子宮結構顯示更為清晰，還可進行定性、定位診斷，臨床實用價值更突齣。
목적비교MRI화US재자궁선기병중진단개치，탐토량충방법대자궁선기병（AD）응용개치。방법대아원부과문진수집적82례의사AD환자균행MRI화US검사。관찰US화MRI표현，술후행병이학검사작위대비。결과82례의사AD환자병리조직학검사，학진자궁선기병38례，자궁기류42례，자궁혈관류2례。MRI여병리대조후，학진자궁선기병35례，오진1례，루진2례，진단부합솔92.1%，오진솔2.6%，루진솔5.3%；US여병리대조후，학진자궁선기병31례，오진4례，루진7례，진단부합솔81.6%，오진솔10.5%，루진솔18.4%，이자대비차이유통계학의의（P＜0.05）。결론 MRI진단자궁선기병민감성、특이성、준학성명현우우US，차대자궁결구현시경위청석，환가진행정성、정위진단，림상실용개치경돌출。
Objective This study is to compare the diagnostic value of MRI and US in adenomyosis and discuss the application value of these two methods in adenomyosis (AD).Method 82 suspected AD patients in the gynecological clinic of our hospital were collected to have MRI and US. US and MRI manifestations of these patients were observed and the postoperative pathological examinations were compared. Results 82 suspected AD patients underwent histopathologic examination, of which 38 patients were diagnosed with adenomyosis, 42 patients with hysteromyoma and 2 patients with hemangioma of uterus. Through the comparison with MRI, 35 patients were diagnosed with adenomyosis, 1 case was misdiagnosed and 2 cases were missed, with the diagnostic accordance rate of 92.1%, misdiagnosis rate of 2.6% and missed diagnosis rate of 5.3%. Through the comparison with US, 31 patients were diagnosed with adenomyosis, 4 cases were misdiagnosed and 7 cases were missed, with the diagnostic accordance rate of 81.6%, misdiagnosis rate of 10.5% and missed diagnosis rate of 18.4%. The difference was statistically significant (P<0.05).Conclusion MRI is superior to US in the diagnosis of adenomyosis in sensitivity, specialty and accuracy, with clearer uterus structure display. Moreover, MRI can be used in qualitative diagnosis and localization diagnosis, indicating more prominent clinical application value.
