首页|基于MRI及DTI双模态成像技术在盆底肌功能障碍诊断中的临床价值

基于MRI及DTI双模态成像技术在盆底肌功能障碍诊断中的临床价值

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目的 探究基于磁共振成像(MRI)及扩散张量成像(DTI)双模态成像技术在盆底肌功能障碍(PFD)诊断中的临床价值.方法 选取喀什地区第一人民医院收治的50例PFD患者作为研究对象并纳入PFD组,另选取同期于医院体检的30例正常志愿者作为对照,纳入对照组,两组均采用MRI及DTI双模态成像技术进行检查,比较两组患者临床资料、盆底肌扫描面积(髂骨尾骨肌、耻骨尾骨肌、耻骨直肠肌)、肛提肌裂孔宽度、盆底标志线(H线、M线)、髂骨尾骨肌厚度(ICT)、髂骨尾骨肌角(ICA)及肛提肌角(LPA),髂骨尾骨肌、耻骨直肠肌各向异性分数(FA)及表观弥散系数(ADC)值.结果 两组一般资料比较在统计学上无显著性差异(P>0.05);PFD组静态与动态髂骨尾骨肌、耻骨尾骨肌、耻骨直肠肌面积均小于对照组(P<0.05);PFD组静态与动态肛提肌裂孔宽度大于对照组,H线、M线长于对照组(P<0.05);PFD组ICT少于对照组,LPA大于对照组,两组ICA比较在统计学上无显著性差异(P>0.05);两组髂骨尾骨肌、耻骨直肠肌FA、ADC值比较在统计学上无显著性差异(P>0.05).结论 基于MRI及DTI双模态成像技术可反映PFD患者盆底功能及形态变化,在PFD患者中具有良好的应用价值,可用于临床推广.
Clinical Value of Dual-Modality Imaging Based on MRI and DTI in the Diagnosis of Pelvic Floor Dysfunction
Objective To investigate the clinical value of dual-modality imaging based on MRI and DTI in diagnosing PFD.Methods A total of 50 patients with PFD admitted to the First People's Hospital of Kashgar(PFD group)and 30 normal volunteers(control group)were included in the study at the same time.All subjects were examined with MRI and DTI dual-modality imaging techniques.Comparison was made between the groups in terms of clinical data,scan areas of pelvic floor muscles(iliococcygeus muscle,pubococcygeal muscle and puborectal muscle),width of anal levator hiatus,pelvic floor marker lines(H line and M line),ICT,ICA,LPA,FA and ADC values of iliococcygeus muscle and puborectal muscle.Results General data of the two groups were comparable(P>0.05).Compared to control group,areas of static and dynamic iliococcygeus muscle,pubococcygeal muscle and puborectal muscle were smaller in PFD group(P<0.05).The width of static and dynamic anal levator hiatus was larger in PFD group.H line and M line were longer in PFD group(P<0.05).ICT was smaller and LPA was greater in PFD group.The two groups had similar ICA,and comparable FA and ADC values of iliococcygeus muscle and puborectal muscle(P>0.05).Condtssion Dual-modality imaging based on MRI and DTI can reflect the changes of pelvic floor function and morphology in patients with PFD.It has good application value in patients with PFD.

Pelvic Floor DysfunctionMagnetic Resonance ImagingDiffusion Tensor ImagingDual-modality ImagingDiagnosis

刘志飞、艾买提江·阿不力米提、李亮杰、戴国朝、王禄马、苏文静、陈艳玲、刘朝晖、冯友珍、艾杰尔古丽·麦合苏木

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新疆喀什地区第一人民医院影像中心(新疆喀什 844000)

暨南大学医学院附属医院影像中心(广东 广州 510000)

盆底肌功能障碍 磁共振成像 扩散张量成像 双模态成像技术 诊断

喀什地区科学技术局

KS2022011

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(10)