产科镜像综合征的胎儿磁共振成像诊断

发布时间：2018-05-19 20:46

本文选题：镜像综合征 + 水肿　；参考：《中国医学计算机成像杂志》2016年01期

【摘要】：目的:探讨胎儿磁共振成像对于产科镜像综合征的诊断价值。方法:回顾性分析2013年10月~2015年5月我院收治的7例镜像综合征的胎儿MRI表现,包括胎儿水肿、胎盘水肿、合并相关畸形等,与临床引产尸检或出生后影像进行对照,并复习相关文献。结果:7例镜像综合征胎儿均表现为多处水肿,2例伴有胎盘水肿。合并的相关畸形包括胎盘绒毛膜血管瘤(1/7)、胎儿骶尾部畸胎瘤(1/7)、胎儿选择性生长受限(s IUGR,3/7)、双胎输血综合征(TTTS,2/7)。除胎儿水肿外,7例均伴有羊水过多。1例胎儿宫内死亡,3例胎儿引产,1例生后死亡,2例出生(体健)。结论:镜像综合征可引起母胎死亡率增加,早期诊断有助于提供恰当治疗并改善预后。胎儿MRI可以无辐射,软组织对比度好,视野大,可多平面成像,该综合征及其相关病变,是产科超声检查的重要补充。
[Abstract]:Objective: to evaluate the diagnostic value of fetal magnetic resonance imaging in obstetric mirror syndrome. Methods: the MRI findings of 7 cases of fetal mirror syndrome admitted in our hospital from October 2013 to May 2015 were analyzed retrospectively, including fetal edema, placental edema and associated malformation. And review the relevant literature. Results all 7 cases of mirror syndrome fetus showed multiple edema and 2 cases with placental edema. Associated deformities included placental chorioangioma 1 / 7, fetal sacrococcygeal teratoma 1 / 7, fetal selective growth restriction IUGR3 / 7, twin transfusion syndrome TTS 2 / 7. Except for fetal edema, 7 cases were accompanied with amniotic fluid hypertrophy. 1 case of fetal intrauterine death and 3 cases of fetal induced labor. 1 case died after birth, 2 cases were born. Conclusion: mirror syndrome can increase maternal and fetal mortality. Early diagnosis is helpful to provide appropriate treatment and improve prognosis. Fetal MRI can be radiation-free, soft tissue contrast, large field of vision, multiplanar imaging, the syndrome and its associated lesions, is an important supplement to obstetric ultrasound examination.
【作者单位】：同济大学附属第一妇婴保健院;
【分类号】：R445.2;R714.5

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