本文選題：磁共振技術(shù) + 先天性畸形　； 參考：《中國婦幼保健》2017年08期

【摘要】：目的研究磁共振成像(MRI)技術(shù)在產(chǎn)前先天性畸形診斷中的臨床效果。方法選取2014年1月-2016年4月該院篩查的產(chǎn)婦13 874例為研究對象,產(chǎn)婦入院后先行常規(guī)超聲檢查,然后采用MRI篩查,比較兩種診斷方法篩查效果。結(jié)果 13 874例孕婦中384例經(jīng)手術(shù)確診為胎兒畸形,確診率為2.77%(384/13 874);26例漏診,漏診率為6.77%(26/384)。MRI確診率為95.8%,顯著高于常規(guī)超聲檢查的82.6%,兩者比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);MRI檢查漏診率誤診率為4.2%,顯著低于常規(guī)超聲檢查的17.4%,兩者比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);MRI和超聲檢查畸形類型較多,MRI檢查排在前3位的分別為:中樞神經(jīng)系統(tǒng)、心臟畸形、臉部畸形;常規(guī)超聲檢查排在前3位的分別為:其他、中樞神經(jīng)系統(tǒng)、心臟畸形,兩種方法診斷畸形類型比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論產(chǎn)前先天性畸形胎兒采用MRI篩查效果理想,但應(yīng)嚴(yán)格把握其應(yīng)用適應(yīng)證,聯(lián)合超聲檢查能進(jìn)一步彌補(bǔ)各自缺陷,提高確診率。
[Abstract]:Objective to study the clinical effect of magnetic resonance imaging (MRI) technique in prenatal diagnosis of congenital malformation. Methods from January 2014 to April 2016, 13 874 cases of puerpera who were screened in our hospital were selected. After admission, routine ultrasound examination was performed, and then MRI screening was used to compare the results of the two diagnostic methods. Results of the 13 874 pregnant women, 384 cases were diagnosed as fetal malformation by operation, and the diagnosis rate was 2. 774 / 13 874 misdiagnosis in 26 cases. The missed diagnosis rate of 6.77%(26/384).MRI was 95.8, which was significantly higher than that of conventional ultrasound (82.6%). There was a significant difference between the two groups. The misdiagnosis rate of P0.05 was significantly lower than that of conventional ultrasound, and the misdiagnosis rate was significantly lower than that of conventional ultrasound. The difference was statistically significant. The most common types of deformities in ultrasonography and MRI were as follows: central nervous system (CNS). There were significant differences between the two methods in the diagnosis of cardiac malformations and facial deformities, and in the first three places by conventional ultrasound examination: others, central nervous system and heart malformations, and there was significant difference between the two methods in the diagnosis of deformities (P 0.05). Conclusion MRI screening is ideal for prenatal congenital malformation fetus, but the indication should be strictly grasped. Combined ultrasound examination can make up for their defects and improve the diagnosis rate.
【作者單位】： 成都市婦女兒童中心醫(yī)院產(chǎn)前診斷中心;
【分類號】：R714.5;R445.2

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本文編號：1829035