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评估妊娠患者的急腹症

Evaluating the Acute Abdomen in the Pregnant Patient.

作者信息

Masselli Gabriele, Derme Martina, Laghi Francesca, Framarino-dei-Malatesta Marialuisa, Gualdi Gianfranco

机构信息

Radiology Department, Umberto I Hospital, Sapienza University, Viale del Policlinico 155, Rome 00161, Italy.

Department of Gynecological, Obstetrical and Urological Sciences, Sapienza University, Viale del Policlinico 155, Rome 00161, Italy.

出版信息

Radiol Clin North Am. 2015 Nov;53(6):1309-25. doi: 10.1016/j.rcl.2015.06.013. Epub 2015 Aug 12.

DOI:10.1016/j.rcl.2015.06.013
PMID:26526440
Abstract

Acute abdominal pain in pregnancy presents diagnostic and therapeutic challenges. Ultrasound remains the primary imaging investigation of the pregnant abdomen because of its availability, portability, and lack of ionizing radiation. MR imaging has been shown to be useful in the diagnosis of gynecologic and obstetric problems and in the setting of acute abdomen during pregnancy. MR imaging is often used when ultrasound is inconclusive. Computed tomography is the investigation of choice when there is a life-threatening situation and in case of traumatic injuries, when a rapid diagnosis is required.

摘要

妊娠期急性腹痛带来了诊断和治疗方面的挑战。由于超声检查具有可及性、便携性且无电离辐射,它仍然是孕期腹部的主要影像学检查方法。磁共振成像(MR成像)已被证明在诊断妇产科问题以及孕期急腹症方面很有用。当超声检查结果不明确时,常使用MR成像。在出现危及生命的情况以及创伤性损伤需要快速诊断时,计算机断层扫描是首选的检查方法。

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