CAJ | 학술논문

目的：对比分析产前超声与核磁共振在胎儿腹部囊性包块诊断中的作用。方法：选取2013年4月至2014年4月期间在我院进行产前胎儿腹部囊性包块诊断的孕妇共计210例，产前同时进行核磁共振与超声波检查，选择其中的187例因为引产尸体经过解剖被证实或者出生后临床确诊的确有腹部囊性包块存在的胎儿作为研究对象，通过产前超声与核磁共振检查，分别对比分析对胎儿腹部囊性包块诊断的情况。结果：超声波在诊断消化系统部位囊性包块、泌尿系统部位囊性包块、生殖系统部位囊性包块、其他部位囊性包块方面的正确率显著低于核磁共振诊断的正确率，两组间比较差异具有统计学意义（P<0.05）。结论：产前利用超声与核磁共振在诊断胎儿腹部囊性包块中，虽然核磁共振在诊断胎儿腹部囊性包块中具有较高的诊断率，但都存在各自的优劣势，从便捷性、费用底出发，临床上可将超声波诊断作为首先，当难以诊断时，可借助核磁共振的方法作为补充性的检查，进而做出明确的诊断。
목적：대비분석산전초성여핵자공진재태인복부낭성포괴진단중적작용。방법：선취2013년4월지2014년4월기간재아원진행산전태인복부낭성포괴진단적잉부공계210례，산전동시진행핵자공진여초성파검사，선택기중적187례인위인산시체경과해부피증실혹자출생후림상학진적학유복부낭성포괴존재적태인작위연구대상，통과산전초성여핵자공진검사，분별대비분석대태인복부낭성포괴진단적정황。결과：초성파재진단소화계통부위낭성포괴、비뇨계통부위낭성포괴、생식계통부위낭성포괴、기타부위낭성포괴방면적정학솔현저저우핵자공진진단적정학솔，량조간비교차이구유통계학의의（P<0.05）。결론：산전이용초성여핵자공진재진단태인복부낭성포괴중，수연핵자공진재진단태인복부낭성포괴중구유교고적진단솔，단도존재각자적우열세，종편첩성、비용저출발，림상상가장초성파진단작위수선，당난이진단시，가차조핵자공진적방법작위보충성적검사，진이주출명학적진단。
Objective To compare the effects of prenatal ultrasound and magnetic resonance analysis of fetal abdominal cystic mass diagnosis.Methods From April 2013 to April 2014 in our hospital for prenatal diagnosis of fetal abdominal cystic mass in total 210 cases of pregnant women, prenatal MRI and ultrasound simultaneously, select one of the 187 cases since the induction body through dissection been confirmed or clinically diagnosed after birth did have the presence of fetal abdominal cystic mass as the research object, through prenatal ultrasound and MRI, respectively comparative analysis of the fetal abdominal cystic mass diagnosis.Results Ultrasound in the diagnosis of cystic mass parts of the digestive system, urinary system parts cystic mass accuracy cystic mass parts of the reproductive system, other parts of the cystic mass was significantly lower than the correct aspect ratio MRI diagnosis between the two groups the difference was statistically significant (P <0.05).Conclusion The use of prenatal ultrasound and magnetic resonance imaging in the diagnosis of fetal abdominal cystic mass, although MRI has a high diagnostic yield in the diagnosis of fetal abdominal cystic mass, but there are also advantages and disadvantages of each, from convenience lower cost starting clinical ultrasound diagnostic method which can be used as this end first, when it is difficult diagnosis, can make use of nuclear magnetic resonance methods as complementary.