论文部分内容阅读
目的探究产前超声诊断脊髓纵裂的临床价值。方法 10例疑似椎管内肿瘤胎儿,均行产前超声检查,并与引产后胎儿的高频超声、X线、核磁共振成像(MRI)、病理解剖结果进行对比。结果 10例胎儿脊髓纵裂均发生于T6~9椎管,可见高回声圆形占位病变,脊柱于压力下分为两半,并于远端处汇合,相应锥弓骨化中心加宽明显。妊娠终止后,产后高频超声、X线、MRI、病理解剖结果均证实产前超声结果。结论脊髓纵裂具有明显的特征性超声表现,产前超声诊断可提高该病的诊断准确度,为该病的早期诊断和后续治疗方案的制定提供客观依据。
Objective To investigate the clinical value of prenatal ultrasound in the diagnosis of spinal cord rupture. Methods Ten cases suspected of intraspinal neoplasms were examined with prenatal ultrasound and compared with high frequency ultrasound, X - ray, MRI and histopathological findings. Results 10 cases of fetal spinal cord rupture occurred in the T6 ~ 9 spinal canal, showing hyperechoic circular space lesions, the spinal cord is divided into two halves under pressure, and confluence at the distal end, the corresponding widening of the central cone-shaped ossification . After the termination of pregnancy, postpartum high-frequency ultrasound, X-ray, MRI, pathological findings confirmed prenatal ultrasound results. Conclusions The longitudinal lobe of the spinal cord has obvious characteristic ultrasound manifestations. Prenatal ultrasound diagnosis can improve the diagnostic accuracy of the disease and provide an objective basis for the early diagnosis and subsequent treatment of the disease.