CAJ | 학술논문

目的：探讨 MRI对后盆腔深部浸润型子宫内膜异位症(PDIE)的诊断与累及范围评价的价值。方法回顾性分析36例经手术和病理证实的 PDIE 患者的 MRI,并与腹腔镜手术对照。结果36例患者中,MRI 检出34例患者有 PDIE,敏感性为94.4%。MRI对宫骶韧带、直肠或/和乙状结肠、直肠阴道隔和阴道诊断准确性分别为83.3%、91.7%、80.6%和91.7%。MRI表现与腹腔镜手术结果取得较好的一致。结论 MRI能对PDIE作出术前准确诊断和累及范围的正确评价,为临床治疗计划的制定提供有用信息。
목적：탐토 MRI대후분강심부침윤형자궁내막이위증(PDIE)적진단여루급범위평개적개치。방법회고성분석36례경수술화병리증실적 PDIE 환자적 MRI,병여복강경수술대조。결과36례환자중,MRI 검출34례환자유 PDIE,민감성위94.4%。MRI대궁저인대、직장혹/화을상결장、직장음도격화음도진단준학성분별위83.3%、91.7%、80.6%화91.7%。MRI표현여복강경수술결과취득교호적일치。결론 MRI능대PDIE작출술전준학진단화루급범위적정학평개,위림상치료계화적제정제공유용신식。
Objective To investigate the value of MRI in diagnosis and assessing anatomical distributions of posterior deep infil-trating endometriosis (PDIE)using laparoscopic surgical findings as reference standard.Methods MR images of 36 patients with laparoscopic operation and pathology confirmed PDIE were retrospective analysis,and results were compared with laparoscopic sur-gical findings.Results Among the 36 patients,PDIE was identified in 34 patients at MR imaging with a sensitivity of 94.4%.Re-garding different anatomy location,the accuracy of MR imaging in diagnosis of endometriosis in uterosacral ligament (USL),re-ctosigmoid bowel,rectovaginal septum and vagina was 83.3%,91.7%,80.6% and 91.7% ,respectively.MR imaging findings were well correlated with laparoscopic surgical findings.Conclusion MR imaging can diagnose and assess the anatomical distribu-tions of PDIE with high accuracy preoperatively,which provides useful information for therapy plan making.