产前MRI技术在产时胎儿手术中的应用价值的初步分析

发布时间：2017-12-31 05:27

本文关键词：产前MRI技术在产时胎儿手术中的应用价值的初步分析　出处：《基因组学与应用生物学》2016年06期 　论文类型：期刊论文

【摘要】：为研究产前MRI技术在产时胎儿手术中的应用价值,收集2014年12月至2015年8月在广东省佛山市妇幼保健院实施的4例产时胎儿手术的临床及影像资料,回顾性分析产前MRI对产时胎儿手术的实施所起到的作用及存在的不足。4例患者中胎儿脐膨出2例左侧先天性膈疝2例,产前MRI检查均明确了胎儿出生缺陷的种类及严重程度,对产时胎儿手术的制定发挥了重要的指导作用;但MRI对胎儿合并的支气管软化症及肺动脉高压未能进行有效评价,对合并的胎盘植入未能在产前检出,也给手术增加了风险。由此得出结论,产前MRI需与超声检查联合应用才能更好地提高胎儿宫内缺陷的检出率和临床应用价值。
[Abstract]:To study the value of prenatal MRI technique in fetal surgery. The clinical and imaging data of 4 cases of fetal surgery performed in Foshan Maternal and Child Health Hospital from December 2014 to August 2015 were collected. The effect of prenatal MRI on fetal operation and the deficiency of prenatal MRI were analyzed retrospectively in 2 cases of fetal umbilical herniation 2 cases of left congenital diaphragmatic hernia 2 cases of fetal umbilical herniation and 2 cases of left congenital diaphragmatic hernia. Prenatal MRI examination all defined the types and severity of fetal birth defects, and played an important role in guiding the formulation of fetal surgery at the time of delivery. However, MRI failed to evaluate bronchialacalacia and pulmonary hypertension in fetuses, and placenta accreta was not detected before delivery, which also increased the risk of surgery. Prenatal MRI should be combined with ultrasound in order to improve the detection rate and clinical value of fetal intrauterine defects.
【作者单位】：广东南方医科大学附属佛山妇幼保健院影像中心;佛山市妇幼保健院产科;佛山市妇幼保健院超声诊断中心;
【分类号】：R714.5;R445.2
【正文快照】： 产时胎儿手术(intrapartum fetal operation,IF O)是指在胎儿娩出过程中及娩出后立即对出生缺陷进行纠正的一种手术方式,包括子宫外产时处理(ex uterointrapartum treatm ent,E X IT)和产房外科手术(in housesurgery)及后两者的联合(M ychaliska et al.,1 997)。子宫外产时处

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