先天性子宫畸形的磁共振诊断价值.DOCVIP

先天性子宫发育畸形的MR表现及分型[通讯作者] 刘影，电话：（0551 E-mail: felice828@126.com [通讯作者] 刘影，电话：（0551 E-mail: felice828@126.com [基金项目] ?安徽省自然科学基金面上项目（1208085MH179） 刘梦秋1 刘影1 曾飞雁2 翟羽佳2 侯燕2 程慧敏2(230001 安徽 合肥，安徽医科大学附属省立医院影像科1；安徽 合肥，安徽省立医院磁共振室2) ［摘要］　目的 探讨M R I对先天性子宫发育畸形分型诊断的价值。方法 回顾性分析22例先天性子宫发育畸形的病例，所有病例均进行磁共振冠状位、横断位及矢状位检查，对于诊断困难的复杂畸形病例必要时进行磁共振3D SPACE序列检查。参照美国生殖学会（AFS）的标准对先天性子宫发育畸形的类型进行诊断。 结果 完全性纵隔子宫7例，部分性纵隔子宫2例，双角子宫1例，单角子宫4例，双子宫3例，鞍形子宫5例，所有病例均经临床或手术证实，磁共振的诊断分型正确率达到100%。 结论 MRI多方位及多序列成像，可对先天性子宫发育畸形进行准确的分型诊断，3D SPACE序列对复杂类型的子宫发育畸形类型的分型诊断具有重要价值。 ［关键词］　子宫; 先天性发育畸形; 磁共振成像；3D SPACE； ［中图法分类号］　R445.2 Evaluation of MRI in diagnosis of congenital uterine malformation Liu Mengqiu1 ，Liu Ying1 ，Zeng Feiyan2 ，Zhai Yujia2 ，Hou Yan2 , Cheng Huimin2 (1Department of Radiology , AnHui Medical University Affiliated AnHui Provincial Hospital ,Hefei , AnHui Province ,230001; 2 Department of Radiology , AnHui Provincial Hospital , Hefei , AnHui Province ,230001 ,China ) ［Abstract］ Objective To evaluate the magnetic resonance imaging(MRI) in diagnosis of various congenital uterine malformation. Methods Retrospective analysis of MRI findings of 22 cases of congenital uterine malformation , all cases have coronal plane imagings, transverse plane imagings and sagittal plane imagings. Magnetic resonance 3D SPACE sequence was taken to diagnose difficult and complicated cases when necessary. According to the standard of American Fertility Society(AFS) to decide the type of congenital uterine malformation . Results All together cases, included 7 complete septate uterus , 2 partial septate uterus , 1 bicomous uterus , 4 unicomous uterus ,3 didelphus uterus , 5 arcuate uterus. All cases were confirmed by clinic or surgery, the diagnostic accuracy of MRI was 100%. Conclusion MRI multiple orientation and sequence imaging can diagnose different congenital uterine malformation type exactly. 3D SPACE sequence have important valuation in diagnosis of complicated type congenital uterine malforma