磁共振成像在产科临床的应用研究
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摘要
目的探讨在产科临床上应用磁共振成像的效果。方法选取我院2016年2月～2018年5月产科收治表现有产科并发症、合并症以及胎儿异常等产妇共100例,对其超声以及磁共振结果进行回顾性分析,了解磁共振成像在产科的临床意义。结果对所有研究对象完成检查后发现,属于产前胎盘异常、胎儿异常、妊娠合并肿瘤以及晚期产后出血的患者例数分别为3、92、4及1例。对应的补充诊断情况为1例(33.3%)、49例(53.3%)、3例(75.0%)及0例;对应的诊断符合情况为2例(66.7%)、43例(46.7%)、1例(25.0%)以及1例(100.0%),MRI检查显示磁共振检查诊断补充概率为53.0%,诊断准确率为47.0%。结论医院产科在开展诊断工作期间,合理选择磁共振成像技术展开,表现出的应用价值显著,尤其针对表现出产前胎盘异常、胎儿异常、晚期产后出血以及妊娠合并肿瘤等可以进行充分明确,并且可以将超声检查局限性进行充分弥补,使得产前诊断水平显著提升,使得胎儿出生缺陷显著降低,医疗风险显著降低,最终发现,产科临床应用磁共振成像技术,能够有效对超声检查结果显示胎儿异常、胎盘异常或者妊娠合并肿瘤等进行定位,对其性质能够更加深入了解,是重要的诊断补充手段。
Objective To explore the effect of applying magnetic resonance imaging in clinical practice of department of obstetrics. Methods 100 puerpera with obstetric complications, complications and fetal abnormalities were admitted and treated in department of obstetrics in our hospital from February 2016 to May 2018. The results of ultrasound and magnetic resonance imaging were analyzed retrospectively to understand the clinical significance of magnetic resonance imaging in department of obstetrics. Results After completing the examination of all subjects,the number of patients with prenatal placental abnormalities, fetal abnormalities, pregnancy combined with tumors and late postpartum hemorrhage was 3, 92, 4 and 1, respectively. The corresponding supplementary diagnosis was respectively 1 case(33.3%), 49 cases(53.3%), 3 cases(75.0%) and 0 case. The corresponding diagnostic conformance was respectively 2 cases(66.7%), 43 cases(46.7%), 1 case(25.0%) and 1 case(100.0%). MRI revealed that the diagnostic supplementary probability of MRI was 53.0% and the diagnostic accuracy rate was 47.0%. Conclusion During the diagnostic work in the obstetrics department of the hospital, the reasonable selection of magnetic resonance imaging technology shows significant application value, especially for the fully determination of manifestation of prenatal placenta abnormalities, fetal abnormalities, late postpartum hemorrhage and pregnancy combined with tumor.And the limitations of ultrasound examination can be fully made up. It significantly improves prenatal diagnosis,significantly reduces fetal birth defects and significantly reduces medical risks. Finally, it is found that the clinical application of magnetic resonance imaging in obstetrics can effectively locate fetal abnormality, placental abnormality or pregnancy combined with tumor detected by ultrasound examination results, so as to have a deeper understanding of their nature. It is an important supplementary means of diagnosis.
Objective To explore the effect of applying magnetic resonance imaging in clinical practice of department of obstetrics. Methods 100 puerpera with obstetric complications, complications and fetal abnormalities were admitted and treated in department of obstetrics in our hospital from February 2016 to May 2018. The results of ultrasound and magnetic resonance imaging were analyzed retrospectively to understand the clinical significance of magnetic resonance imaging in department of obstetrics. Results After completing the examination of all subjects,the number of patients with prenatal placental abnormalities, fetal abnormalities, pregnancy combined with tumors and late postpartum hemorrhage was 3, 92, 4 and 1, respectively. The corresponding supplementary diagnosis was respectively 1 case(33.3%), 49 cases(53.3%), 3 cases(75.0%) and 0 case. The corresponding diagnostic conformance was respectively 2 cases(66.7%), 43 cases(46.7%), 1 case(25.0%) and 1 case(100.0%). MRI revealed that the diagnostic supplementary probability of MRI was 53.0% and the diagnostic accuracy rate was 47.0%. Conclusion During the diagnostic work in the obstetrics department of the hospital, the reasonable selection of magnetic resonance imaging technology shows significant application value, especially for the fully determination of manifestation of prenatal placenta abnormalities, fetal abnormalities, late postpartum hemorrhage and pregnancy combined with tumor.And the limitations of ultrasound examination can be fully made up. It significantly improves prenatal diagnosis,significantly reduces fetal birth defects and significantly reduces medical risks. Finally, it is found that the clinical application of magnetic resonance imaging in obstetrics can effectively locate fetal abnormality, placental abnormality or pregnancy combined with tumor detected by ultrasound examination results, so as to have a deeper understanding of their nature. It is an important supplementary means of diagnosis.
引文
[1]李建华,朱铭.磁共振在胎儿胸腹部畸形诊断中的应用价值[J].中国妇幼保健,2011,15(14):124-125.
[2]李浩生,温红.超声探测颈项透明层检测早期胎儿异常[J].广东医学,2012,16(2):252-253.
[3]尹少尉,陈静.磁共振检查在确定胎儿脑室扩张疾病诊断中影响因素的Logistic回归分析[J].中国医科大学学报,2011,12(8):144-145.
[4]詹林,唐建华.超声诊断胎儿畸形101例分析[J].华夏医学,2012,19(1):222-223.
[5]郑伟增,邹煜,吕卫国,等.妊娠合并盆腔肿瘤的磁共振影像表现及其临床应用价值[J].中华围产医学杂志,2017,20(10):746-753.
[6]赵玉娇,高光峰,崔璨,等.经阴道分娩后压力性尿失禁产妇盆底结构改变的MRI研究[J].国际医学放射学杂志,2018,41(1):17-21.
[7]崔春明,吕悦闻,孙强,等.产前磁共振成像在先天性腹壁缺损中的应用[J].中国医师进修杂志,2018,41(3):205-207.
[8]符式新,张茜,张凯钟,等.磁共振成像对凶险性前置胎盘的诊断价值分析[J].中国计划生育和妇产科,2018,10(6):64-67.
[9]李志,何平亚,罗志琴,等.单纯性侧脑室扩张胎儿产前MRI检查诊断的临床价值及出生后随访[J].中华妇产科杂志,2017,52(4):220-226.
[10]谢宗源,谭志斌,王志强,等.常规MRI结合动态对比增强磁共振成像在宫颈癌分期中的应用价值[J].山东医药,2018,58(21):58-60.
[11]马鹰,祝海城,何大馨,等.超声联合3.0MRI在剖宫产术后切口瘢痕妊娠中诊断价值分析[J].中国CT和MRI杂志,2017,15(4):111-113,132.
[12]程义鹏,王景林,李超,等.磁共振检查在胎儿中枢神经系统先天发育异常中的应用研究[J].哈尔滨医科大学学报,2017,51(6):517-520.
[13]孙燕,尚艳坤,王汉峰,等.CDFI联合MRI对产前检查凶险型前置胎盘合并胎盘植入的诊断价值[J].河南医学研究,2018,27(4):645-646.
[14]李志森,张继斌,许建铭,等.3.0T DCE-MRI定量参数对宫颈癌病理学特征及临床分期的研究[J].实用放射学杂志,2018,34(4):609-612.
[15]谷守欣,李克,张国福,等.3D-SPACE序列在深部浸润型子宫内膜异位症的价值分析[J].中国医学计算机成像杂志,2017,23(4):347-351.
[16]汤敏,高洁,张鑫,等.扩散加权成像评价不同亚型胎儿生长受限胎盘价值的研究[J].陕西医学杂志,2018,47(8):1039-1042.
[17]林如,李景涛,任芸芸,等.产前超声与核磁共振诊断胎盘植入结果比较[J].中国计划生育学杂志,2017,25(8):536-538,542.
[18]张洁,吴昆华,王波,等.子痫脑病的影像学表现及其临床意义[J].实用妇产科杂志,2017,33(6):467-470.
[2]李浩生,温红.超声探测颈项透明层检测早期胎儿异常[J].广东医学,2012,16(2):252-253.
[3]尹少尉,陈静.磁共振检查在确定胎儿脑室扩张疾病诊断中影响因素的Logistic回归分析[J].中国医科大学学报,2011,12(8):144-145.
[4]詹林,唐建华.超声诊断胎儿畸形101例分析[J].华夏医学,2012,19(1):222-223.
[5]郑伟增,邹煜,吕卫国,等.妊娠合并盆腔肿瘤的磁共振影像表现及其临床应用价值[J].中华围产医学杂志,2017,20(10):746-753.
[6]赵玉娇,高光峰,崔璨,等.经阴道分娩后压力性尿失禁产妇盆底结构改变的MRI研究[J].国际医学放射学杂志,2018,41(1):17-21.
[7]崔春明,吕悦闻,孙强,等.产前磁共振成像在先天性腹壁缺损中的应用[J].中国医师进修杂志,2018,41(3):205-207.
[8]符式新,张茜,张凯钟,等.磁共振成像对凶险性前置胎盘的诊断价值分析[J].中国计划生育和妇产科,2018,10(6):64-67.
[9]李志,何平亚,罗志琴,等.单纯性侧脑室扩张胎儿产前MRI检查诊断的临床价值及出生后随访[J].中华妇产科杂志,2017,52(4):220-226.
[10]谢宗源,谭志斌,王志强,等.常规MRI结合动态对比增强磁共振成像在宫颈癌分期中的应用价值[J].山东医药,2018,58(21):58-60.
[11]马鹰,祝海城,何大馨,等.超声联合3.0MRI在剖宫产术后切口瘢痕妊娠中诊断价值分析[J].中国CT和MRI杂志,2017,15(4):111-113,132.
[12]程义鹏,王景林,李超,等.磁共振检查在胎儿中枢神经系统先天发育异常中的应用研究[J].哈尔滨医科大学学报,2017,51(6):517-520.
[13]孙燕,尚艳坤,王汉峰,等.CDFI联合MRI对产前检查凶险型前置胎盘合并胎盘植入的诊断价值[J].河南医学研究,2018,27(4):645-646.
[14]李志森,张继斌,许建铭,等.3.0T DCE-MRI定量参数对宫颈癌病理学特征及临床分期的研究[J].实用放射学杂志,2018,34(4):609-612.
[15]谷守欣,李克,张国福,等.3D-SPACE序列在深部浸润型子宫内膜异位症的价值分析[J].中国医学计算机成像杂志,2017,23(4):347-351.
[16]汤敏,高洁,张鑫,等.扩散加权成像评价不同亚型胎儿生长受限胎盘价值的研究[J].陕西医学杂志,2018,47(8):1039-1042.
[17]林如,李景涛,任芸芸,等.产前超声与核磁共振诊断胎盘植入结果比较[J].中国计划生育学杂志,2017,25(8):536-538,542.
[18]张洁,吴昆华,王波,等.子痫脑病的影像学表现及其临床意义[J].实用妇产科杂志,2017,33(6):467-470.