超声联合MRI对胎儿胸腔畸形的临床诊断价值  

Clinical value of ultrasound combined with MRI in the diagnosis of fetal thoracic malformation

作　　者：王茵[1] 肖晓娟[1] 丁玲云 周欣[1] 肖菊花[1] 王君 沈婷[1] WANG Yin;XIAO Xiao-juan;DING Ling-yun(Jiangxi maternal and child health hospital,Nanchang 330006,China;Fengcheng maternal and child health hospital,Yichun 331100,China)

机构地区：[1]江西省妇幼保健院,江西南昌330006 [2]丰城市妇幼保健院,江西宜春331100

出　　处：《吉林医学》2022年第10期2765-2768,共4页Jilin Medical Journal

基　　金：江西省卫生健康委科技计划项目[项目编号:202130816]。

摘　　要：目的:探究超声联合磁共振成像(MRI)在胎儿胸腔畸形的临床诊断中的应用价值。方法:选取进行产前二维超声(2DUS)检查疑似胸腔畸形胎儿169例为研究对象。对研究所有孕妇均开展三维超声检查(3DUS)、MRI检查,以随访结果作为金标准,观察、分析检查结果情况。结果:169例胎儿中,共计127例阳性,其中有61例为肺囊腺瘤,隔离肺46例,膈疝20例。3DUS联合MRI诊断阳性检出率较3DUS、MRI阳性检出率高,且MRI对胸腔畸形阳性检出率较3DUS高(P<0.05);3DUS联合MRI诊断准确度、灵敏度、特异度均高于单独诊断(P<0.05)。结论:对于胎儿胸腔畸形的诊断,与单一使用3DUS检查、MRI检查相比,超声联合MRI检查的诊断准确率、灵敏度更高,便于对患儿病情状况及早发现,为后期临床开展治疗提供依据支持。Objective To explore the application value of ultrasound combined with magnetic resonance imaging(MRI) in the clinical diagnosis of fetal thoracic malformation.Method 169 fetuses with suspected thoracic deformity who were examined by prenatal two-dimensional ultrasound(2 DUS) were selected. Three dimensional ultrasonography(3 DUS) and MRI were carried out for all pregnant women in the study. The follow-up results were taken as the gold standard, and the examination results were observed and analyzed.Results Among the 169 fetuses, a total of 127 cases were positive, including 61 cases of lung cystadenoma, 46 cases of isolated lung, and 20 cases of diaphragmatic hernia. The positive detection rate of 3 DUS combined with MRI was higher than that of 3 DUS and MRI, and the positive detection rate of MRI for thoracic deformity was higher than that of 3 DUS(P<0.05);The diagnostic accuracy and sensitivity of 3 DUS combined with MRI were higher than those of it alone(P<0.05).Conclusion For the diagnosis of fetal thoracic malformation, compared with 3 DUS and MRI alone, ultrasound combined with MRI has higher diagnostic accuracy and sensitivity, which is convenient for the early detection of children’s condition and provides basis support for later clinical treatment.

关 键 词：超声联合MRI 胎儿胸腔畸形 诊断准确率 临床诊断 磁共振成像 

分 类 号：R445[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]