| 曹亚先,王芮,陈臻,张明杰.MRI诊断胎儿胎粪性腹膜炎[J].中国医学影像技术,2017,33(9):1380~1383 |
| MRI诊断胎儿胎粪性腹膜炎 |
| MRI in diagnosis of fetal meconium peritonitis |
| 投稿时间：2016-12-08 修订日期：2017-07-18 |
| DOI：10.13929/j.1003-3289.201612030 |
| 中文关键词: 胎粪性腹膜炎 胎儿 磁共振成像 |
| 英文关键词:Meconium peritonitis Fetus Magnetic resonance imaging |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨MRI对胎儿胎粪性腹膜炎的诊断价值。方法 回顾性分析我院7胎经手术及病理证实为胎粪性腹膜炎的胎儿产前MRI影像特征。结果 6胎可见大量游离腹腔积液，肠管漂浮于中腹部，小肠聚拢纠集；1胎表现为腹部巨大囊性包块，肠管受压移位、不均匀扩张。4胎显示结、直肠细小或胎粪充盈不佳。2胎伴双侧睾丸鞘膜积液。3例孕妇羊水量多。产后1例患儿于术中突发心率下降抢救无效死亡，1例术后合并严重肺水肿死亡，余5例预后良好。结论 胎粪性腹膜炎的产前MRI具有特征性表现，可为产后治疗及评估预后提供重要依据。 |
| 英文摘要: |
| Objective To explore the value of MRI in diagnosis of fetal meconium peritonitis. Methods Seven meconium peritonitis fetuses proved by surgery and pathology were enrolled. The prenatal MRI findings and clinical data were analyzed retrospectively. Results Six fetuses showed a large amount of ascites, intestinal tube floating in the abdomen, small intestine gathered together. One fetus showed a giant abdominal cystic mass, with bowel compressed, displaced and uneven dilated. Four fetuses showed small colon and rectum, or without meconium signal. Two fetuses were accompanied by bilateral hydrocele. Amniotic fluid increased in 3 cases. After the neonates were born, 1 case of them died from sudden heart rate decline during operation, 1 case died from severe pulmonary edema after operation, and 5 cases survived after operation. Conclusion MRI has some features in the prenatal diagnosis of meconium peritonitis, which can provide an important basis for postpartum treatment and evaluation of prognosis. |
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