造影增强磁共振检查(MRI-HG)对于剖宫产后切口憩室(CSD)诊断的临床价值

目的:探讨应用磁共振(MRI)检查评估剖宫产后切口憩室(CSD)的大小、肌层厚度的价值。方法:选取2013年1月至2015年1月于上海市第一妇婴保健院行经阴道CSD修补术的患者124例,术前分别行B超、磁共振(MRI)及造影增强磁共振(MRI-HG)检查,比较3者对于CSD长、CSD宽、CSD深、CSD处残余子宫浆肌层厚度的测量值。结果:MRI相较于B超检查,在评估CSD的长、宽方面具有显著优势。MRI-HG较B超及普通MRI,测量CSD的长、宽、深的判断更显著。3者对剖宫产术后CSD处浆肌层的厚度的判断无明显差异。结论:MRI-HG在评估CSD时优于B超和传统MRI检查。

The clinical value of the use of MRI-HG in diagnosing the cesarean scar diverticulum

Objective:To discuss the value of Magnetic Resonance Imaging ( MRI ) in evaluating the size and muscle thickness of the diverticulum caused by cesarean section inci-sion. Method:124 patients admitted to Shanghai First Maternity and Infant Hospital from Jan. 2013 to Jan. 2015 for transverginal CSD repair were selected. All these patients took ultrasonog-raphy,MRI and MRI-HG before surgery and data of CSD length,CSD width,CSD depth and the thickness of residual uterine serosa and myometrium at CSD were compared. Result:MRI was better than ultrasonography when evaluating CSD length and width. MRI-HG had a more signifi-cant effect on judging length,width and depth of CSD than ultrasonography and normal MRI. There was no significance among the 3 examination methods for checking the thickness of resid-ual uterine serosa and myometrium at CSD. Conclusions:MRI-HG is better than ultrasonogro-phy and traditional MRI while examing the diverticulum caused by cesarean section incision.