摘要
目的探讨MRI在诊断腹腔妊娠与患者临床管理中的应用价值。方法回顾性分析经手术证实的5例腹腔妊娠患者的MRI和临床资料,分析其MRI表现,并与手术结果对照。结果 5例产前MRI均准确诊断腹腔妊娠,其中1例为原发性,4例为继发性,并发现子宫破裂口的位置;5例胎盘MRI表现与手术结果相吻合;1例MRI检出腹腔大量新鲜出血,2例显示羊水过少,2例检出胎儿和脐带异常,均与手术所见相符。结论术前MRI诊断腹腔妊娠准确率较高,可显示胎儿和胎盘及其与周围组织关系,有助于规划临床管理。
Objective To observe the application value of MRI in diagnosis and clinical management of abdominal pregnancy. Methods MRI and clinical data of 5 patients with abdominal pregnancy proved surgically were analyzed retrospectively. MRI performances were analyzed and compared with findings in operation. Results Prenatal MRI correctly diagnosed abdominal pregnancy in all 5 patients, including 1 case of primary and 4 cases of secondary abdominal pregnancy. The position of uterine rupture was revealed in all 4 cases of secondary abdominal pregnancy. MRI performances of placenta conformed to operative findings in all 5 patients. A lot of fresh intra-abdominal hemorrhage was found in 1 case, oligohydramnion in 2 cases, and abnormalities of placenta and fetus in 2 patients, which were consistent with findings of operation. Conclusion Prenatal MRI offers a high accuracy rate in diagnosis of abdominal pregnancy. MRI can show fetus, placenta and the relationship with surrounding tissue, therefore being helpful to clinical management of abdominal pregnancy.
出处
《中国医学影像技术》
CSCD
北大核心
2018年第3期386-390,共5页
Chinese Journal of Medical Imaging Technology
基金
广东省医学科学技术研究基金(A2015103)
关键词
妊娠
腹腔
磁共振成像
诊断
临床管理
Pregnancy, abdominal
Magnetic resonance imaging
Diagnosis
Clinical management