| 屈亚林,吕富荣,肖智博,吕发金,李佳,赵飞飞.Cine MRI评价子宫肌瘤患者子宫蠕动[J].中国医学影像技术,2015,31(9):1383~1387 |
| Cine MRI评价子宫肌瘤患者子宫蠕动 |
| Cine MRI evaluation of uterine peristalsis in patients with uterine fibroids |
| 投稿时间：2014-12-28 修订日期：2015-02-02 |
| DOI：10.13929/j.1003-3289.2015.09.026 |
| 中文关键词: 磁共振成像,电影 子宫肿瘤 子宫蠕动 |
| 英文关键词:Magnetic resonance imaging, cine Uterine neoplasms Uterine peristalsis |
| 基金项目:国家临床重点专科项目(国卫办医函[2013]544号)、重庆市渝中区科计计划项目(20120211). |
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| 中文摘要: |
| 目的 采用磁共振电影成像技术(cine MRI)探讨子宫肌瘤患者子宫蠕动异常及其相关因素.方法 对60例子宫肌瘤患者及30名健康志愿者于排卵期行盆腔常规T1、T2轴位,T2矢状位及cine MRI扫描;医师A、B分别对cine MRI图像行双盲法评价,评价内容包括子宫是否存在正常蠕动、蠕动方向及频率,医师B记录肌瘤患者子宫及最大肌瘤体积、肌瘤位置及数量;比较肌瘤患者与健康志愿者正常蠕动存在率及蠕动频率,比较肌瘤患者中正常蠕动存在者与不存在者子宫平均体积及肌瘤特点.结果 与健康志愿者比较,子宫肌瘤患者正常蠕动存在率及蠕动频率明显降低,差异有统计学意义(P均 <0.05);存在正常蠕动肌瘤患者子宫平均体积及最大肌瘤平均体积均小于不存在正常蠕动肌瘤患者,前者差异有统计学意义(P=0.043、0.129).结论 子宫肌瘤患者排卵期子宫蠕动明显降低,不利于排卵期精子快速运输至输卵管,可能是其不孕的原因之一;该类患者子宫蠕动异常可能与肌瘤引起子宫体积明显增大相关. |
| 英文摘要: |
| Objective To investigate the abnormal peristaltis and its relevant factors of patients with uterine fibroids by cine MRI. Methods Totally 60 patients with uterine fibroids and 30 healthy volunteers in periovulatory phase underwent conventional T1, T2 axia, T2 sagittal and cine MRI. Physician A, B indepedently double-blind evaluated the images, including the existence, direction and frequency of normal peristalsis. Physician B recorded uterine volume, the largest fibroid volume, location and number of fibroids. The existent rate and frequency of nomal peristalsis between patients with uterine fibroids and healthy volunteers were compared and uterine average volume, the largest fibroids average volume and characteristics of fibroids between patients with and without normal perstalsis were compared. Results The existent rate and frequency of normal perstalsis significantly decreased in patients with fibroids compared with healthy volunteers (P <0.05), uterine and the largest fibroids average volume in patients with normal peristasis were lower than that of patients without peristasis, the former has statistically significance (P=0.043, 0.129). Conclusion Nomal peristasis of patients with fibroids significantly decreases in periovulatory phase, which is not conducive to the rapid transport of sperm to the fallopian tubes, and it may be one of the reasons for infertility. The enlarged uterine volume caused by fibroids may also be one of the reasons for abnormal peristasis. |
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