Fedele L, Dorta M, Brioschi D, Massari C, Candiani G B
1st Department of Obstetrics and Gynecology, University of Milan, Italy.
Obstet Gynecol. 1989 Dec;74(6):844-7.
A total of 18 infertile patients with hysterosalpingographic diagnosis of bifid uterus underwent magnetic resonance imaging (MRI) and subsequent laparoscopy or laparotomy to evaluate the capability of MRI to differentiate among the various classes of the malformation. Magnetic resonance imaging identified both bicornuate uteri correctly, both didelphic uteri, nine of the 12 partial septate uteri, and both complete septate uteri. The method demonstrated a sensitivity of 100% and a specificity of 78.6% in demonstrating cervical prolongation of the spur. Compared with laparoscopy, MRI is less expensive and less invasive, and can also be performed in patients with extensive adhesions. However, it has the disadvantage of not providing information on tubal conditions or on the presence of minimal and mild endometriosis.
共有18例子宫输卵管造影诊断为双子宫的不孕患者接受了磁共振成像（MRI）检查，随后进行了腹腔镜检查或剖腹手术，以评估MRI区分不同类型畸形的能力。磁共振成像正确识别出了所有双角子宫、所有双子宫、12例部分纵隔子宫中的9例以及所有完全纵隔子宫。该方法在显示纵隔延长方面的敏感性为100%，特异性为78.6%。与腹腔镜检查相比，MRI成本更低、侵入性更小，也可用于有广泛粘连的患者。然而，它的缺点是无法提供输卵管情况或微小及轻度子宫内膜异位症存在情况的信息。
