摘要
目的分析探究磁共振成像(MRI)检查在深部浸润型子宫内膜异位症(DIE)诊断中的应用及价值。方法收集本院2018年6月至2019年6月经手术治疗及(或)病理证实的64例DIE患者临床资料,展开回顾性分析。入组患者术前均接受经阴道彩色超声(TVS)和MRI检查诊断,比较分析检查结果与以及MRI诊断DIE的应用价值。结果以手术结果为金标准,64例确诊DIE患者共切除病灶147处,病变累及子宫直肠陷凹47例(73.4%)、子宫骶韧带41例(64.1%)、直肠40例(62.5%)、阴道直肠隔10例(15.6%)、穹窿阴道壁5例(7.8%)、其他4例(6.2%);术前MRI诊断不同部位DIE准确度、敏感度、特异度均高于TVS检查,总体阳性似然比与阴性似然比分别为2.51、0.57。结论MRI检查在DIE术前诊断中具有较高应用价值,对不同部位病变诊断准确性、敏感度、特异性较好,值得推广应用。
Objective To analyze and explore the application and value of magnetic resonance imaging(MRI)in the diagnosis of deep invasive endometriosis(DIE).Methods Clinical data of 64 patients with DIE who underwent surgical treatment and/or pathological confirmation from June 2018 to June 2019 in our hospital were collected and analyzed retrospectively.All enrolled patients received transvaginal color ultrasound(TVS)and MRI examination and diagnosis before surgery.Compare and analyze the examination results with postoperative pathological consistency and the application value of MRI diagnosis of DIE.Results Surgical and pathological diagnosis was considered as the gold standard.In 64 patients diagnosed with DIE,147 lesions were removed.The accuracy,sensitivity and specificity of preoperative MRI diagnosis of different parts of DIE were higher than TVS,and the overall positive likelihood ratio and negative likelihood ratio were 2.51 and 0.57,respectively.Conclusion MRI examination has high application value in the preoperative diagnosis of DIE,and it has high accuracy,sensitivity and specificity in the diagnosis of different lesions,which is worthy of popularization and application.
作者
张春
Zhang Chun(Department of Imaging,The first People′s Hospital of Huangzhong County,Qinghai811609,China)
出处
《实用医学影像杂志》
2020年第4期365-367,共3页
Journal of Practical Medical Imaging
