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目的:探讨磁共振T2加权图像(T2WI)对重度宫腔粘连的诊断价值。方法:采用前瞻性研究方法,追踪观察T2WI检查提示重度宫腔粘连20例的宫腔镜诊断、宫腔镜手术治疗及预后情况。结果:(1)宫腔镜下诊断证实重度宫腔粘连19例,轻度宫腔粘连1例,T2WI诊断与临床最终诊断结果符合率为95.0%(19/20)。(2)T2WI判定子宫结合带正常或轻度受累14例手术难度不大,术后妊娠5例;子宫结合带受累严重5例手术难度较大,术后均未妊娠。结论:T2WI可清晰显示宫腔粘连程度及结合带受累情况,有助于宫腔粘连的诊断、治疗方案制定及预后评估。
Objective: To investigate the value of magnetic resonance T2 weighted imaging (T2WI) in the diagnosis of severe intrauterine adhesions. Methods: A prospective study was conducted to observe the hysteroscopy diagnosis, hysteroscopic surgery and prognosis in 20 cases of severe intrauterine adhesions observed by T2WI. Results: (1) Hysteroscopic diagnosis of severe intrauterine adhesions in 19 cases, 1 case of mild intrauterine adhesions, T2WI diagnosis and clinical diagnosis of the final result was 95.0% (19/20). (2) T2WI to determine the normal or mild involvement of uterine junction with 14 cases of surgery is not difficult, 5 cases of postoperative pregnancy; uterine junction involvement in 5 cases of serious surgical difficulty, no pregnancy after. Conclusion: T2WI can clearly show the degree of intrauterine adhesions and the involvement of the band, which is helpful for the diagnosis of intrauterine adhesions, the development of treatment plans and the prognosis evaluation.