摘要
目的探讨三维彩色多普勒超声联合磁共振成像诊断胎儿中枢神经系统畸形的价值。方法选取2016年1月~2017年8月我院收治的产前检查显示胎儿中枢神经系统畸形的30例产妇作为研究对象,所有患儿均经分娩或引产后随访证实。孕妇产前均分别实施三维彩色多普勒超声与磁共振成像检查,分析两种方法联合诊断的效果。结果三维彩色多普勒超声与磁共振成像结果相符12例,所占比例为40.0%;磁共振成像补充诊断信息16例,所占比例为53.3%;磁共振成像更正诊断信息2例,所占比例为6.7%;三维彩色多普勒超声提示存在异常,但磁共振成像检查未显示1例,所占比例为3.3%。磁共振成像图像质量评分优于三维彩色多普勒超声,差异有统计学意义(P<0.05)。结论在胎儿中枢神经系统畸形诊断中,联合应用三维彩色多普勒超声与磁共振成像诊断的效果理想,能互相补充、更正诊断信息,值得进行深入研究和推广。
Objective To investigate the value of three-dimensional color Doppler ultrasonography combined with magnetic resonance imaging（MRI） in the diagnosis of fetal central nervous system deformity.Methods From January 2016 to August 2017,30 pregnant women with prenatal examinations of fetal central nervous system deformity in our hospital were selected as research objects.All infants were confirmed by follow-up visits after childbirth or labor induction.Pregnant women were all examined by prenatal three-dimensional color Doppler ultrasound and MRI to analyze the combined diagnosis effect of the two methods.Results Three-dimensional color Doppler ultrasound and MRI were consistent with 12 cases accounting for 40.0%.There were 16 cases with supplementary diagnosis by MRI for 53.3%,and two cases with correct diagnosis which accounted for 6.7%.There was one case indicating abnormality by the detection of three-dimensional color Doppler ultrasound,but denied by MRI,accounting for 3.3%.The quality score of MRI image was superior to three-dimensional color Doppler ultrasound,with statistical significance（P〈0.05）.Conclusion In the diagnosis of fetal central nervous system deformity,the combined application of three-dimensional color Doppler ultrasound and MRI can obtain an optimal effect,which can complement and correct the diagnostic information each other,and deserves further study and promotion.
作者
王先进
WANG Xian-jin(Department of Ultrasound,Jiangxi Maternal and Child Health Hospital,Nanchang 330006,Chin)
出处
《中国当代医药》
2018年第12期73-75,共3页
China Modern Medicine
基金
江西省卫生计生委科技计划项目(20175431)
关键词
胎儿中枢神经系统畸形
三维彩色多普勒超声
磁共振成像
诊断
Fetal central nervous system deformity
Three-dimensional color Doppler ultrasound
Magnetic resonanceimaging
Diagnosis
