CAJ | 학술논문

目的：探讨磁共振成像(MRI)在先天性双角子宫畸形诊断中的价值。方法回顾性分析13例磁共振成像诊断为双角子宫畸形的MRI表现及临床资料，比较不同扫描方位对双角子宫畸形的显示情况，并与宫腔镜检查及手术结果进行对照。结果 MRI诊断结果与宫腔镜检查及手术结果相符12例，MRI诊断先天性双角子宫畸形的准确率为92.3%，其中斜冠状位诊断13例，横轴位诊断8例，矢状位上不能做出明确定性诊断。结论 MRI可以直观显示宫腔结构和宫底外观形态,且能获得精确的量化分析结果,是先天性双角子宫畸形定性和定量诊断的最佳无创性检查方法；MRI对先天性双角子宫畸形诊断准确率高，斜冠状位T2WI像结合轴位T2WI像是最佳检查方位。
목적：탐토자공진성상(MRI)재선천성쌍각자궁기형진단중적개치。방법회고성분석13례자공진성상진단위쌍각자궁기형적MRI표현급림상자료，비교불동소묘방위대쌍각자궁기형적현시정황，병여궁강경검사급수술결과진행대조。결과 MRI진단결과여궁강경검사급수술결과상부12례，MRI진단선천성쌍각자궁기형적준학솔위92.3%，기중사관상위진단13례，횡축위진단8례，시상위상불능주출명학정성진단。결론 MRI가이직관현시궁강결구화궁저외관형태,차능획득정학적양화분석결과,시선천성쌍각자궁기형정성화정량진단적최가무창성검사방법；MRI대선천성쌍각자궁기형진단준학솔고，사관상위T2WI상결합축위T2WI상시최가검사방위。
Objective To investigate value of the magnetic resonance imaging (MRI) in the diagnosis of congenital double angular deformity of uterus.Methods Retrospective analysis MRI findings and clinical data from 13 cases with double angular deformity of uterus , different scanning positions of MRI on bicornuate uterus malformation were compared, and compared with hysteroscopy and operation results.Results MRI results was consistent with hysteroscopy and operation results in 12 cases, the accurate rate of congenital double angular uterine malformation diagnosis of MRI was 92.3%, 13 were diagnosed with oblique coronal, axial diagnosis in 8 cases, the sagittal cannot make a clear diagnosis. Conclusion MRI is the best noninvasive method to congenital uterine malformation of double angle in qualitative and quantitative diagnosis because it can directly display the uterine cavity structure and the fundus appearance and can obtain accurate analysis of quantitative; MRI has high accuracy in the diagnosis of congenital uterine malformation of double angle, and oblique coronal T2WI imaging combined with axial T2WI is the best check position.