1.5 T MR快速扫描在腹部疾病穿刺活检中的临床应用

发布时间：2018-06-24 21:40

本文选题：磁共振成像 + 介入性　；参考：《临床放射学杂志》2017年01期

【摘要】：目的探讨高场封闭式MR导向穿刺活检对诊断腹部不同疾病的临床应用价值。方法搜集高场MR导向穿刺活检的45例患者,其中肝脏8例,胰腺8例,肾脏9例,腹膜后10例,盆腔10例,对其穿刺活检结果与术后组织病理学诊断结果以及临床随访结果进行对照分析,并总结MR导向较其他导向设备活检的优势。结果45例患者在高场MR引导下顺利完成了穿刺,穿刺均一次性成功,手术均在局部麻醉下完成,术中患者耐受性良好,MR引导的穿刺活检均获得了足够的标本,且没有发生明显的并发症。穿刺结果与术后病理比较,总符合率为93.3%(42/45)。结论高场MR无电离辐射,具有较高的软组织分辨率,可任意方位断层成像,多个角度引导穿刺,故对于诊断腹部疾病简单、安全,取材准确可靠,准确率高。
[Abstract]:Objective to evaluate the clinical value of high-field closed Mr guided biopsy in the diagnosis of different abdominal diseases. Methods Forty-five patients with high field MR-guided biopsy were collected, including liver (8 cases), pancreas (8 cases), kidney (9 cases), retroperitoneal (10 cases), pelvic cavity (10 cases). The results of biopsy were compared with the results of histopathological diagnosis and clinical follow-up, and the advantages of MR-guided biopsy were summarized. Results the puncture was successfully completed in 45 patients under the guidance of high field Mr, the puncture was successful once and the operation was performed under local anesthesia. Enough specimens were obtained from MR-guided biopsies of the patients during the operation. There were no obvious complications. The total coincidence rate was 93. 3% (42 / 45). Conclusion High field Mr has no ionizing radiation, has high soft tissue resolution, can be used for any azimuth tomography and multiple angle guided puncture, so it is simple, safe, accurate and accurate in diagnosing abdominal diseases.
【作者单位】：河南省周口市中心医院放射科;郑州大学第一附属医院放射科;
【基金】：河南省卫生科技创新型人才工程项目资助周口市第七批、第八批专业技术拔尖人才项目资助
【分类号】：R445.2;R57

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