电影磁共振成像技术与经会阴超声在盆腔器官脱垂诊断评估中的应用价值
Application Value of Cine Magnetic Resonance Imaging and Transperineal Ultrasonography in the Diagnosis and Evaluation of Pelvic Organ Prolapse
李爽 1彭程 2常婷 3吕维富 1刘影1
作者信息
- 1. 230001 合肥,中国科学技术大学附属第一医院影像科
- 2. 230001 合肥,中国科学技术大学附属第一医院妇产科
- 3. 230001 合肥,中国科学技术大学附属第一医院超声医学科
- 折叠
摘要
目的 对比分析电影磁共振成像技术(cine-MRI)和经会阴盆底超声(TLUS)在诊断评估盆腔器官脱垂(POP)程度的应用价值.方法 纳入经盆腔器官脱垂定量(POP-Q)分度法诊断的73例POP患者为研究对象,所有患者均行cine-MRI和TLUS检查,测量并分析静息状态和最大Valsalva动作状态下的影像数据,探讨cine-MRI和TLUS检查评估POP分期的效能.结果 阴道壁上各解剖标点至处女膜缘距离与cine-MRI、TLUS各参考点至参考线的距离呈正相关(均P＜0.05);cine-MRI、TLUS与POP-Q诊断前、中POP的一致性均良好(均Kappa＞0.60,P＜0.01),而后POP 一致性较差(P＜0.01).结论 cine-MRI和TLUS能有效评定POP分级,其中在诊断后POP可优先选择cine-MRI,可为临床提供可靠的诊断依据.
Abstract
Objective To compare the application value of cine magnetic resonance imaging(cine-MRI)and transperi-neal ultrasonography(TLUS)in the diagnosis and evaluation of pelvic organ prolapse(POP).Methods 73 subjects diag-nosed as POP by pelvic organ prolapse quantification(POP-Q)were enrolled and examined by cine-MRI and TLUS respec-tively.In order to evaluate the diagnostic efficiency of cine-MRI and TLUS,image data acquired at rest and maximal Valsal-va maneuver were observed and analyzed.Results The distances from each anatomical landmarks on the vaginal wall to the marginal hymen were positively correlated with the vertical distance from each reference point of cine MRI and TLUS to the reference line(P＜0.05),cine-MRI vs POP-Q and TLUS vs POP-Q had a great consistency in the diagnosing the grad-ing of anterior and middle pelvic cavity(P＜0.05)but poor in the posterior pelvic cavity(P＜0.001).Conclusion Cine-MRI scan and TLUS examination can evaluate the grading of POP,meanwhile,cine-MRI scan can be used as a priority aux-iliary diagnostic tool for posterior pelvic cavity,which can provide a reliable diagnostic?evidence for the clinical work.
关键词
超声检查/盆底/电影磁共振成像技术/盆腔器官脱垂/定量分度法Key words
Ultrasound/Transperineal/Cine magnetic resonance imaging/Pelvic organ prolapse quantification引用本文复制引用
基金项目
安徽省重点研发计划(202004j07020016)
中国科学技术大学附属第一医院医疗新技术项目(2020006)
出版年
2024
NETL
NSTL
万方数据