俞福盛

[摘要] 目的 磁共振掃描诊断子宫腺肌症价值评价。 方法 方便选取该院2017年1月—2018年6月收治的116例子宫腺肌症患者，均经活检病理确诊，行回顾性分析，将研究对象随机分为观察组和对照组，各58例。观察组行超声联合磁共振扫描诊断，对照组行常规超声诊断。对比两组诊断准确率、误诊率、漏诊率、ROC曲线下面积、结合带厚度。结果 结合影像资料，发现观察组的诊断准确率87.93%（51/58）、误诊率5.17%（3/58）、漏诊率6.90%（4/58），对照组诊断准确率72.41%（42/58）、误诊率15.52%（9/58）、漏诊率12.07%（7/58）。两组差异有统计学意义（χ2=21.007、22.058、20.251， P<0.05）。观察组ROC曲线下面积为0.997，对照组ROC曲线下面积为0.909。观察组结合带厚度平均为（13.2±0.3）mm，对照组结合带厚度平均为（12.6±1.5）mm。两组差异有统计学意义（t=5.878、6.791， P<0.05）。结论 超声联合磁共振扫描诊断子宫腺肌症准确率高，少漏诊和误诊，能够准确捕捉病灶区域信息，价值突出。

[关键词] 磁共振;子宫腺肌症;超声诊断;结合带厚度

[中图分类号] R445          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0184-03

Evaluation of the Value of Magnetic Resonance Scanning in the Diagnosis of Adenomyosis

YU Fu-sheng

Department of Radiology， First Hospital of Putian City， Putian， Fujian Province， 351100 China

[Abstract] Objective To evaluate the value of magnetic resonance imaging in the diagnosis of adenomyosis. Methods Convenient selected a total of 116 patients with adenomyosis admitted to the hospital from January 2017 to June 2018 in our hospital were diagnosed by biopsy. Retrospective analysis was performed. The subjects were randomly divided into observation group and control group. 58 cases in each group. The observation group was diagnosed by ultrasound combined with magnetic resonance imaging， and the control group underwent routine ultrasound diagnosis. The diagnostic accuracy， misdiagnosis rate， missed diagnosis rate， area under the ROC curve， and thickness of the bonding band were compared between the two groups. Results Combined with imaging data， the diagnostic accuracy of the observation group was 87.93% （51/58）， misdiagnosis rate 5.17%（3/58）， and missed diagnosis rate 6.90%（4/58）. The accuracy rate was 72.41% （42/58）， the misdiagnosis rate was 15.52%（9/58）， and the missed diagnosis rate was 12.07% （7/58）. The difference between the two groups was statistically significant （χ2=21.007，22.058，20.251， P<0.05）. The area under the ROC curve of the observation group was 0.997， and the area under the ROC curve of the control group was 0.909. The average thickness of the band in the observation group was （13.2±0.3） mm， and the thickness of the band in the control group was （12.6±1.5） mm. The difference between the two groups was statistically significant（t=5.878，6.791， P<0.05）. Conclusion Ultrasound combined with magnetic resonance imaging in the diagnosis of adenomyosis has high accuracy， less missed diagnosis and misdiagnosis， and can accurately capture the information of the lesion area with outstanding value.

[Key words] Magnetic resonance; Adenomyosis; Ultrasound diagnosis; Combined band thickness

子宫腺肌症属于一种较为多见的妇产科疾病，以30～50岁的经产妇为主要发病群体。直接病因为子宫内膜腺体、间质侵入子宫肌层，导致病变。该疾病可能恶化，影响患者生活或者导致不孕，多主张尽早治疗，但由于该疾病患者临床表现缺乏特异性，往往可能漏诊、误诊。研究指出应用磁共振扫描技术进行诊断，可提升诊断准确性，该院方便选取2017年1月—2018年6月收治的116例子宫腺肌症患者进行研究，现报道如下。

1  资料与方法

1.1  一般资料

方便选取该院收治的116例子宫腺肌症患者，随机分为观察组和对照组，每组58例。观察组58例患者，年龄28～49岁，平均（39.2±1.7）岁，经产妇54例，无生产经历患者4例。对照组58例患者，年龄29～48岁，平均（39.4±1.5）岁，经产妇55例，无生产经历患者3例。两组患者的性别、年龄等一般资料对比，差异无统计学意义（P>0.05），具有可比性。且该次研究经伦理委员会批准，所有患者签署知情同意书。