摘要
目的:探讨胎儿唇腭裂的MRI的诊断价值。方法 :回顾性分析19例胎儿唇腭裂MRI和超声资料,并复习相关文献。本组孕妇在行MR检查前均行超声检查。MR检查采用单次激发快速自旋回波(SSTSE)序列和T_1加权快速梯度回波(T_1WI-TFE)序列,行胎儿颅脑、胸、腹部常规检查,重点行颜面部横轴面、冠状面扫描观察胎儿唇腭部形态结构,是否有中断、缺失,并测量唇腭裂裂口的宽度,将产前MRI、超声表现与随访结果进行对比分析。结果:19例胎儿产前MRI诊断单纯唇裂4例,唇腭裂15例,唇腭裂中伴胎儿多发畸形1例,本组引产3例,引产及出生后随访结果与MRI诊断一致。产前超声诊断单纯唇裂10例,单纯唇裂、腭裂不确定6例,唇腭裂3例。结论:MRI在胎儿唇腭裂的诊断中具有较高的实用价值,是超声产前诊断的重要补充。
Objective:To study the value of MRI in diagnosis of fetal cleft lip and palate.Methods:Imaging materials of 19cases with fetal cleft lip and palate were retrospectively analyzed.All the pregnant women were examined by ultrasound before MR examination.The imaging protocal included single-shot torbo spin echo in(SSTSE)sequence and Tl-weighted imaging fast field echo (T,WI-TFE)sequence.Routine examination of fetal brain,chest and abdomen was performed,focusing on transverse axial and coronal planes of facial region to display any disruption.The width of cleft lip and palate was also measured.Comparative analysis of prenatal MRI,diagnostic ultrasonography and follow-up results was performed.Results:The MRI diagnosis were simple cleft lip(4cases),and cleft lip and palate(15cases).The diagnosis assessed after induced labor or postnatal follow-up were in consistent with the diagnosis of prenatal MRI.The prenatal ultrasonographic diagnosis were simple cleft lip (10cases),simple cleft lip with indefinite cleft palate (6cases)and cleft lip and cleft palate (3cases).Conclusions: MRI has a high practical value in the diagnosis of fetal cleft lip and palate,which is an important supplement for prenatal ultrasonographic diagnosis.
作者
朱承峰
董素贞
梁中华
刘春玲
王飞
ZHU Cheng-fen;DONG Su-zhen;LIANG Zhong-hua;LIU Chun-lin;WANG Fei(Department of Radiology,Shanghai Children's Medical Center,Shanghai JiaoTong University School of Medicine, Shanghai 200127,China;Department of Radiology,Dalian Obstetrics and Gynecology Hospital, Affiliated Hospital of Dalian Medical University,Dalian Liaoning 116033,China)
出处
《中国临床医学影像杂志》
CAS
2019年第1期46-49,共4页
Journal of China Clinic Medical Imaging
关键词
唇裂
腭裂
胎儿疾病
磁共振成像
Cleft lip
Cleft palate
Fetal diseases
Magnetic resonance imaging
