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目的:分析比较MRI(magnetic resonance imaging,MRI)、B超对子宫肌瘤大小、数目测量准确程度。方法:搜集2006年1月-2009年5月期间在我院经手术病理证实为子宫平滑肌瘤的21例患者共38个肌瘤,将其术前MRI、B超诊断子宫肌瘤数目、大小与术中所见及术后病理结果进行回顾性分析比较。结果:MRI检查敏感度97.36%(37/38),阳性预测值92.68%(38/41)。B超检查敏感度58.53%(24/41),阳性预测值100%(24/24)。结论:MRI在显示子宫肌瘤大小、数目上有较高的诊断价值,对指导临床制定适宜手术治疗方案及治疗后检测随访具有重要意义。
OBJECTIVE: To analyze and compare the accuracy of magnetic resonance imaging (MRI) and B-ultrasound on the size and number of uterine fibroids. Methods: A total of 38 fibroids were collected from 21 patients with uterine leiomyoma confirmed by pathology in our hospital from January 2006 to May 2009. The preoperative MRI, B ultrasound to diagnose the number of uterine fibroids, size Retrospectively analyzed and compared with the intraoperative findings and postoperative pathological findings. Results: The sensitivity of MRI examination was 97.36% (37/38) and the positive predictive value was 92.68% (38/41). The sensitivity of B ultrasound examination was 58.53% (24/41) and the positive predictive value was 100% (24/24). Conclusion: MRI has a high diagnostic value in displaying the size and number of uterine fibroids, which is of great significance in guiding the clinical development of suitable surgical treatment programs and post-treatment detection follow-up.