MRI评估子宫肌瘤患者行腹腔镜下肌瘤剔除术的可行性

目的探讨MRI评估子宫肌瘤患者行腹腔镜下肌瘤剔除术的可行性。方法回顾性分析2019年1月至2019年12月于我院收治的60例子宫肌瘤患者临床资料,根据2011年FIGO新的子宫肌瘤分类标准对子宫肌瘤分类,测量子宫肌瘤大小及数目,按照临床及腹腔镜下子宫肌瘤剔除术的适应症标准,筛选符合腹腔镜下子宫肌瘤剔除术的病例,计算MRI对腹腔镜下子宫肌瘤剔除术的排除率、手术率。结果本研究中60例患者经MRI检查,病灶单发者19例,多发者41例,子宫肌瘤病灶数目共计119个,其中112个位于子宫体,5个位于子宫颈,阔韧带2个;其中6-7型子宫肌瘤55个,3-5型子宫肌瘤48个,0-2型子宫肌瘤5个,混合型6个,特殊类型5个。最终符合腹腔镜下子宫肌瘤剔除术手术标准者25例,排除者35例,手术率为41.67%,排除率为58.33%。结论MRI能对子宫肌瘤患者行腹腔镜下肌瘤剔除术的可行性进行评估,筛选适宜手术的患者,且能为临床医师行腹腔镜下肌瘤剔除术提供影像学基础。

MRI Evaluation of Feasibility of Laparoscopic Myomectomy in Patients with Uterine Fibroids

Objective To explore the MRI evaluation of the feasibility of laparoscopic myomectomy in patients with uterine fibroids.Methods The clinical data of 60 cases of patients with uterine fibroids admitted to our hospital from January 2019 to December 2019 were retrospectively analyzed.Uterine fibroids were classified according to the new FI GO classification criteria for uterine fibroids in 2011.The size and number of uterine fibroids were measured.According to the indication criteria of clinical and laparoscopic myomectomy,the cases that met laparoscopic myomectomy were screened out,and the exclusion rate and surgery rate of MRI for laparoscopic myomectomy were calculated.Results After 60 patients in this study after MRI examination,there were 19 cases with single lesions and 41 cases with multiple lesions.The total number of uterine fibroids lesions was 119,of which 112 were in the uterine body,5 in the cervix,and 2 in the broad ligament.There were 55 cases of uterine fibroid type 6-7,48 cases of uterine fibroid type 3-5,5 cases of uterine fibroid type 0-2,6 case of mixed type,and 5 cases of a special type.The re were 25 cases with su rgical criteria for la pa roscopic myomectomy and 35 cases with exclusion,and the surgery rate was 41.67%,and the exclusion rate was 58.33%.Conclusion MRI in evaluatiing the feasibility of laparoscopic myomectomy in patients with uterine fibroids is conducive to screening patients who are suitable for surgery and can provide patients with an imaging basis for clinicians to perform laparoscopic myomectomy.