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MRI诊断子宫腺肌病的价值
引用本文:康佳丽,夏薇,卢丽娜,江新青,彭国晖,刘丽芳. MRI诊断子宫腺肌病的价值[J]. 中国医学影像学杂志, 2003, 11(1): 41-42
作者姓名:康佳丽  夏薇  卢丽娜  江新青  彭国晖  刘丽芳
作者单位:1. 510180,广州,广东省广州市第一人民医院妇产科
2. 510180,广州,广东省广州市第一人民医院磁共振室
3. 510180,广州,广东省广州市第一人民医院功能检查科
基金项目:广东省卫生厅基金项目 (A2 0 0 2 565)
摘    要:目的 :探讨MRI诊断子宫腺肌病的价值。材料和方法 :通过对 92例临床疑为子宫腺肌病 /子宫肌瘤的患者行MRI和超声检查 ,并与术后病理结果对比 ,以评估MRI对子宫腺肌病的诊断符合率。结果 :经术后病理检查证实 ,根据临床表现诊断子宫腺肌病准确性较差 ,痛经者 85 .6 %、月经改变 5 0 .0 % ;B超诊断子宫腺肌病的灵敏度 5 3 .4%、特异度 5 5 .9% ;MRI对该病诊断的灵敏度 94.5 %、特异度 10 0 % ;既能定性 ,又能定位 ,而且此检查无创伤 ,方便快捷。结论 :MRI为临床诊断子宫腺肌病提供了一种最有价值的检查方法 ,为及时、正确治疗该病带来了重要的临床意义。

关 键 词:子宫腺肌病  MRI
修稿时间:2002-09-02

The Diagnostic Value of MRI in Adenomyosis
Kang Jiali,Xia Wei,Lu Lina,Jiang Xinqing,Peng Guohui,Liu Lifang. The Diagnostic Value of MRI in Adenomyosis[J]. Chinese Journal of Medical Imaging, 2003, 11(1): 41-42
Authors:Kang Jiali  Xia Wei  Lu Lina  Jiang Xinqing  Peng Guohui  Liu Lifang
Abstract:Purpose: To investigate the diagnostic value of MRI in adenomyosis. Materials and Methods:92 cases of adenomyosis and myoma of uterus which couldn't be identified in clinic were carried out with type B ultrasonic examination and MRI. We evaluated the accurate diagnostic rate of MRI in adenomyosis compared with the postoperative pathological examination. Results:The accurate diagnostic rate of adenomyosis was less satisfactory according to the clinical symptoms. It was 85.6% in dysmenorrhea and 50.0% in abnormal menorrhea. The diagnostic sensitivity and specificity of type B ultrasonic examination were 53.4% and 55.9% and those of MRI were 94.5% and 100%. MRI was a noninvasive,quick and convenient examination which could help to orientate the position and determine the nature. Conclusion:MRI provide a most worthful method for the clinical diagnosis of adenomyosis and it is of clinical significance in the treatment of adenomyosis timely and correctly.
Keywords:adenomyosis  MRI
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