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MRI在产前胎盘植入诊断的应用与进展

洪静静 黄伟康 张和林 郭嘉亮 文戈

洪静静, 黄伟康, 张和林, 郭嘉亮, 文戈. MRI在产前胎盘植入诊断的应用与进展[J]. 分子影像学杂志, 2020, 43(2): 203-206. doi: 10.12122/j.issn.1674-4500.2020.02.05
引用本文: 洪静静, 黄伟康, 张和林, 郭嘉亮, 文戈. MRI在产前胎盘植入诊断的应用与进展[J]. 分子影像学杂志, 2020, 43(2): 203-206. doi: 10.12122/j.issn.1674-4500.2020.02.05
Jingjing HONG, Weikang HUANG, Helin ZHANG, Jialiang GUO, Ge WEN. Application of MRI in the diagnosis of Placenta implantation before delivery[J]. Journal of Molecular Imaging, 2020, 43(2): 203-206. doi: 10.12122/j.issn.1674-4500.2020.02.05
Citation: Jingjing HONG, Weikang HUANG, Helin ZHANG, Jialiang GUO, Ge WEN. Application of MRI in the diagnosis of Placenta implantation before delivery[J]. Journal of Molecular Imaging, 2020, 43(2): 203-206. doi: 10.12122/j.issn.1674-4500.2020.02.05

MRI在产前胎盘植入诊断的应用与进展

doi: 10.12122/j.issn.1674-4500.2020.02.05
基金项目: 

广东省自然科学基金 2020A1515010469

广东省医学科学技术研究基金项目 2019481331104

详细信息
    作者简介:

    洪静静,硕士,医师,E-mail: 1224264079@qq.com

    通讯作者:

    文戈,博士,主任医师,E-mail: 1113470826@qq.com

Application of MRI in the diagnosis of Placenta implantation before delivery

  • 摘要: 超声检查作为胎盘植入的检查方式有很多局限性, 如胎盘位置太深、羊水太少、孕妇过于肥胖等条件不利于超声准确评估。MRI越来越多地应用于胎盘植入诊断中, 尤其针对超声评估不佳的患者。近年来, MRI的快速扫描序列及功能成像, 如SSTSE、HASTE、DWI、MRS等在胎盘植入的诊断中发挥极大作用。MRI诊断胎盘植入的直接征象包括:子宫肌层变薄, 肌层不连续、胎盘子宫肌层分界不清。胎盘植入的间接征象包括:胎盘内的异质信号; T2WI像胎盘内低信号带; 胎盘内异常血管分布, 血管迂曲、粗大; 胎盘局部膨隆; 子宫局限性凸起; 邻近器官受侵等。异常胎盘的可能性随着胎盘侵袭的影像学特征数量的增加而增加, 并且与患者的危险因素如剖宫产、前置胎盘等因素相关。胎盘内暗带的出现是胎盘植入最强的佐证。本文就目前MRI在产前胎盘植入的应用与进展方面进行综述。

     

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  • 收稿日期:  2020-03-22
  • 刊出日期:  2020-04-15

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