Share：
Share this content in WeChat
X
[Chinese][PDF]92776
• Clinical Article •
Value of CT and MRI imaging in the diagnosis of hydrosalpinx
ZHAO Zu-lai  XU Zhi-yong  ZHOU Yu-mo  XIAN Ming 

DOI:10.12015/issn.1674-8034.2017.01.010.


[Abstract] Objective: To study the diagnostic value of CT and MRI for hydrosalpinx.Materials and Methods: The clinical data of 64 patients diagnosed with hydrosalpinx in our hospital between August 2013 and August 2016 were analyzed, and were divided into a control group and an observation group according to the different imaging techniques applied, with 32 cases in each group. The control group was diagnosed by CT, and the observation group by MRI. The specific diagnostic values in the two groups were observed and compared.Results: All the 32 cases were confirmed with cystic masses by CT diagnosis, among which 22 (68.75%) were with clear boundary masses and 4 with bilateral masses (12.50%), with 15 cases (46.88%) with masses in the left adnexa and 13 (40.63%) in the right adnexa, MRI diagnosis showed that, the edge of the masses was smooth, S-shaped or C shaped like sausage. The proportion of missed diagnosis and misdiagnosis in the observation group was 3.12%, lower than the 21.88% in the control group, and diagnosis accuracy was 96.88%, higher than the 78.13% in the control group (P<0.05).Conclusions: For the diagnosis of hydrosalpinx, MRI is with higher diagnostic value, which can obtain clear imaging data, reduce misdiagnosis or missed diagnosis, and improve the diagnosis accuracy, therefore, it is of significant value to be popularized in clinical application. Besides, in actual practice, CT and MRI could be combined together to play their respective advantages.
[Keywords] Hydrosalpinx；Magnetic resonance imaging；Tomography, X-ray computed

ZHAO Zu-lai Department of Radiology, Huanggang Hospital of Traditional Chinese Medicine, Hubei, Huanggang 438000, China

XU Zhi-yong* Department of Radiology, Huanggang Hospital of Traditional Chinese Medicine, Hubei, Huanggang 438000, China

ZHOU Yu-mo Department of Radiology, Huanggang Hospital of Traditional Chinese Medicine, Hubei, Huanggang 438000, China

XIAN Ming Department of Radiology, Huanggang Hospital of Traditional Chinese Medicine, Hubei, Huanggang 438000, China

*Correspondence to: Xu ZY, E-mail: 657862000@qq.com

Conflicts of interest   None.

Received  2016-10-20
Accepted  2016-12-10
DOI: 10.12015/issn.1674-8034.2017.01.010
DOI:10.12015/issn.1674-8034.2017.01.010.

[1]
张国祥，邱晓晓，程泾，等．抗炎通络灌肠方治疗慢性输卵管炎的实验研究．中华中医药学刊, 2013, 11(6): 1378-1381.
[2]
徐嘉璐，孙明华，朱家樑，等．慢性输卵管炎与原发性输卵管癌的MRI鉴别诊断．影像诊断与介入放射学, 2015, 24(4): 305-308.
[3]
李良萍，李文华．扩散加权成像（DWI）在输卵管炎性疾病中的应用价值．中国CT和MRI杂志, 2016, 14(7): 130-132.
[4]
刘长云. 203例输卵管积液不孕患者病原体分析．中华医院感染学杂志, 2013, 23(13): 3286-3288.
[5]
Damm M, Jayme KP, Klimek L. Recurrent otitis media with effusion in childhood: When should an otolaryngologist consider an allergic etiology? HNO, 2013, 61(10): 843-848.
[6]
Rabban JT, Garg K, Crawford B, Chen LM, et al. Early detection of high-grade tubal serous carcinoma in women at low risk for hereditary breast and ovarian cancer syndrome by systematic examination of fallopian tubes incidentally removed during benign surgery. Am J Surg Pathol, 2014, 38(6): 729-742.
[7]
蔺鸿儒，李玉智，韩建秀，等．输卵管积液的MRI诊断．实用放射学杂志, 2014, 30(11): 1858-1860.
[8]
朱时锵．中西医结合疗法联合介入治疗输卵管阻塞性不孕症临床研究．中华全科医学, 2015, 13(12): 2079-2080.
[9]
金筱筱，郑灵芝，张紫娟．人工流产术后输卵管堵塞继发不孕的临床研究与感染分析．中华医院感染学杂志, 2015, 10(8): 1879-1881.
[10]
Bagby C, Ronnett BM, Yemelyanova A, et al. Clinically occult tubal and ovarian high-grade serous carcinomas presenting in uterine samples: diagnostic pitfalls and clues to improve recognition of tumor origin. Int J Gynecol Pathol, 2013, 32(5): 433-443.
[11]
周浩，李小双，陈晓，等．输卵管积液的CT和MRI表现及误诊分析.临床放射学杂志, 2015, 34(10): 1622-1626.
[12]
江魁明，王亚，侍丽，等．输卵管妊娠患者血清VEGF的水平与磁共振成像表现的关系．中华生物医学工程杂志, 2013, 19(2): 144-147.
[13]
方必东，陈梅魁，姚庆东，等. MRI对特殊部位异位妊娠的诊断价值．中华医学杂志, 2013, 93(29): 2315-2317.
[14]
东强，史婧，储成凤，等．输卵管积液的MRI诊断及其临床应用价值．实用放射学杂志, 2015, 31(7): 1144-1147, 1170.
[15]
Mainka T, Lemburg SP, Heyer CM, et al. Association between clinical signs assessed by manual segmental examination and findings of the lumbar facet joints on magnetic resonance scans in subjects with and without current low back pain: a prospective, single-blind study. Pain, 2013, 154(9): 1886-1895.

PREV Different cervical flexion positions of MRI in Hirayama disease
NEXT Changes in lactate and associated transporters expression in basal ganglia following hypoxic-ischemic brain injury in piglets
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn