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目的:探讨磁共振成像(MRI)对深部浸润型子宫内膜异位症(DIE)术前评估的临床意义。方法:回顾分析41例术前均行MRI检查,经手术治疗且病理证实的DIE患者的临床资料。结果:41例DIE患者中,15例MRI术前诊断明确,术中所见及术后病理与MRI检查完全吻合。按受累部位病灶数计算MRI诊断的准确率32.5%,妇科检查检出阳性率24.4%,阴道超声术前确诊1例,诊断准确率1.2%;3种术前检查方法比较,MRI诊断的准确性高于阴道超声及妇科检查。结论:MRI检查可以对DIE术前诊断和累及范围作出准确的评估,并能在临床手术方案制定上提供指导,较妇科检查、阴道超声等更有优势。
Objective: To investigate the clinical significance of magnetic resonance imaging (MRI) in preoperative evaluation of deep infiltrative endometriosis (DIE). Methods: A retrospective analysis of 41 cases of preoperative MRI examination, the surgical treatment and pathological evidence of DIE clinical data. Results: Of 41 DIE patients, 15 cases were diagnosed by MRI preoperatively, and the findings of intraoperative and postoperative pathology were completely consistent with those of MRI. According to the number of lesions involved, the accuracy of MRI diagnosis was 32.5%, the positive rate of gynecological examination was 24.4%, the accuracy of vaginal ultrasonography was 1 case, the accuracy of diagnosis was 1.2%. The accuracy of MRI diagnosis was compared among the three preoperative methods Higher than vaginal ultrasound and gynecological examination. Conclusion: MRI can accurately assess the scope of preoperative diagnosis and extent of DIE, and provide guidance in the development of clinical surgical plans. It is more advantageous than gynecological examination and vaginal ultrasound.