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目的:探讨应用磁共振(MRI)检查评估剖宫产后切口憩室(CSD)的大小、肌层厚度的价值。方法:选取2013年1月至2015年1月于上海市第一妇婴保健院行经阴道CSD修补术的患者124例,术前分别行B超、磁共振(MRI)及造影增强磁共振(MRI-HG)检查,比较3者对于CSD长、CSD宽、CSD深、CSD处残余子宫浆肌层厚度的测量值。结果:MRI相较于B超检查,在评估CSD的长、宽方面具有显著优势。MRI-HG较B超及普通MRI,测量CSD的长、宽、深的判断更显著。3者对剖宫产术后CSD处浆肌层的厚度的判断无明显差异。结论:MRI-HG在评估CSD时优于B超和传统MRI检查。
Objective: To evaluate the value of magnetic resonance imaging (MRI) in assessing the size of incisional diverticulum (CSD) and the thickness of muscular layer after cesarean section. Methods: One hundred and twenty-four patients with vaginal CSD repair in the First Maternal and Child Health Hospital of Shanghai from January 2013 to January 2015 were selected. B-ultrasound, MRI and MRI -HG) were used to examine and compare the three measurements of residual uterine myometrial thickness at the CSD for long CSDs, wide CSDs, deep CSDs. Results: MRI compared with B-ultrasound, CSD in the assessment of the length and width of a significant advantage. MRI-HG compared with B-ultrasound and MRI, CSD to measure the length, width, depth of judgment more pronounced. 3 CSD at CSD after the judgment of the thickness of the muscle layer no significant difference. Conclusion: MRI-HG is superior to B ultrasound and traditional MRI in assessing CSD.