摘要
目的:探讨胎儿腹部囊性病变的磁共振影像特点,为其鉴别诊断和制定治疗方案提供参考。方法:搜集我院2009年1月—2018年9月行胎儿MRI检查并经产后随访证实的胎儿腹部囊性病变患儿共102例,孕周15~37周,对照随访结果进行总结分析。结果:102例胎儿腹部囊性病变中,病变位于下腹部者共37例,卵巢囊肿最多(24例,64.9%);右上腹共16例,胆总管囊肿最多(6例,37.5%);左上腹共9例,消化道重复囊肿最多(6例,55.6%);腹膜后病变共40例,以泌尿系统来源囊性病变为主,淋巴管畸形及肾上腺血肿较多见。结论:胎儿腹部囊性病变定位具有一定规律,同时结合其他MRI影像征象及超声特点进行综合分析,可提高诊断水平并减少误诊。
Objective: To explore the characteristics of MRI of fetal abdominal cystic lesions, and to provide reference for its differential diagnosis and treatment. Methods: One hundred and two cases of fetal abdominal cystic lesions cases whose gestational weeks was 15~37W from January 2009 to September 2018 in our hospital were collected, and the results of fetal MRI examination were analyzed and compared with the result confirmed by postpartum follow-up. Results: Among 102 cases of fetal abdominal cystic lesions, 37 cases were located in the lower abdomen. Ovarian cysts (24 cases, 64.9%) are the most common cases. There were 16 cases in the right upper abdomen, and choledochal cysts(6 cases, 37.5%) are the most common cases. There were 9 cases of left upper abdomen, and multiple digestive tract cyst(6 cases, 55.6%) are the most common cases. There were 40 cases of retroperitoneal lesions, mainly cystic lesions from urinary system, lymphatic malformations and a - drenal hematoma. Conclusion: The localization of fetal abdominal cystic lesions has certain rules, and comprehensive analysis combined with other MRI imaging signs and ultrasonic characteristics can improve the diagnostic level and reduce misdiagnosis.
作者
肖伟强
刘鸿圣
刘振清
莫宗明
XIAO Wei-qiang;LIU Hong-sheng;LIU Zhen-qing;MO Zong-ming(Department of Radiology, Guangzhou Women and Children’s Medical Center, Guangzhou 510623, China)
出处
《中国临床医学影像杂志》
CAS
2019年第7期495-498,506,共5页
Journal of China Clinic Medical Imaging
关键词
卵巢囊肿
胎儿疾病
磁共振成像
Ovarian cysts
Fetal diseases
Magnetic resonance imaging
