摘要
目的 探究磁共振(MRI)成像检查对子宫腺肌症患者的临床诊断价值。方法 选择2019年07月-2022年09月就诊的疑似子宫腺肌症患者105例作为研究对象,所有患者均行经阴道超声检查及MRI检查。分析病理学检查、经阴道超声检查及MRI检查结果;分析经阴道超声检查与MRI检查的影像学表现;以病理学检查为“金标准”,分析经阴道超声检查与MRI检查在子宫腺肌症患者中的诊断价值,并计算两种检查方法与“金标准”的一致性。结果 105例疑似患者经病理学检查明确为子宫腺肌症患者78例,检出率为74.29%(78/105);经阴道超声检查检出子宫腺肌症患者61例,检出率为58.10%(61/105);经MRI检查检出子宫腺肌症患者75例,检出率为71.43%(75/105)。故经阴道超声检查在子宫腺肌症患者中的检出率低于MRI检查,有统计学差异(χ^(2)=4.090,P=0.043)。MRI检查在子宫腺肌症中的灵敏度为93.60%、特异度为92.59%、准确度为93.33%、阳性预测值为97.33%及阴性预测值为83.33%,均高于经阴道超声检查的66.67%、66.67%、66.67%、85.25%、40.91%,有统计学差异(P<0.05)。一致性检验:MRI检查与“金标准”一致性良好(kappa值为0.832,P为0.000),而经阴道超声检查与“金标准”一致性不佳(kappa值为0.276,P为0.002)。结论 MRI成像检查在子宫腺肌症患者中具有较高的临床应用价值,与“金标准”存在较强的一致性,能够清晰观察病变具体情况,为临床进一步诊疗提供可靠参考,具有较高的临床推广应用价值。
Objective To explore the clinical diagnostic value of magnetic resonance imaging(MRI)in patients with adenomyosis of uterus.Methods A total of 105 patients with suspected adenomyosis were selected from July 2019 to September 2022.All patients underwent transvaginal ultrasonography and MRI.The results of pathological examination,transvaginal ultrasonography and MRI were analyzed.The imaging findings of transvaginal ultrasonography and MRI were analyzed.Taking pathological examination as the"gold standard",the diagnostic value of transvaginal ultrasonography and MRI in patients with uterine adenomyosis was analyzed,and the consistency between the two examination methods and the"gold standard"was calculated.Results 78 of the 105 suspected patients were confirmed as adenomyosis by pathological examination,the detection rate was 74.29%(78/105).61 cases of adenomyosis were detected by transvaginal ultrasonography,the detection rate was 58.10%(61/105).75 patients with adenomyosis were detected by MRI,the detection rate was 71.43%(75/105).Therefore,the detection rate of transvaginal ultrasonography in patients with adenomyosis was lower than that of MRI,with statistical difference(x^(2)=4.090,P=0.043).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of MRI in adenomyosis were 93.60%,92.59%,93.33%,97.33%and 83.33%respectively,which were higher than those of transvaginal ultrasonography(66.67%,66.67%,66.67%,85.25%,40.91%).There was statistical difference(P<0.05).Consistency test:MRI was in good agreement with the"gold standard"(kappa value 0.832,P 0.000),while transvaginal ultrasound was not in good agreement with the"gold standard"(kappa value 0.276,P 0.002).Conclusions MRI imaging has high clinical application value in patients with uterine adenomyosis,which is consistent with the"gold standard".It can clearly observe the specific conditions of the lesions,provide reliable reference for further clinical diagnosis and treatment,and has high clinical application value.
作者
刘凤丽
LIU Fengli(Xinzheng Tianyou Hospital,Zhengzhou 451100,China)
出处
《航空航天医学杂志》
2023年第9期1032-1035,共4页
Journal of Aerospace medicine
关键词
子宫腺肌症
磁共振成像
影像学表现
诊断一致性
adenomyosis of uterus
Magnetic resonance imaging
Imaging findings
Diagnostic consistency
