宫内磁共振成像在脊髓脊膜膨出管理中的作用
The role of intrauterine magnetic resonance in the management of myelomenigocele.
作者信息
Trigubo Denise, Negri Mercedes, Salvatico Rosana Mabel, Leguizamón Gustavo
机构信息
High Risk Pregnancy Unit, Department of Obstetrics & Gynecology, C.E.M.I.C. University, Buenos Aires, Argentina.
Department of Radiology (FLENI), Centro Diagnostico Rossi and Medical Institution Dr Pedro Lylyk, Buenos Aires, Argentina.
出版信息
Childs Nerv Syst. 2017 Jul;33(7):1107-1111. doi: 10.1007/s00381-017-3418-x. Epub 2017 May 17.
OBJECTIVE
To assess the role of magnetic resonance imaging (MRI) in the management of myelomenigocele.
BACKGROUND
Spinal dysraphism or neural tube defects (NTD) encompass a heterogeneous group of congenital spinal anomalies that result from the defective closure of the neural tube early in gestation. Myelomeningocele is the most common type of NTD that is compatible with life, with high survival rates but lifelong physical impairments.
CONCLUSION
MRI is an important adjunct to ultrasound in assessing NTD, as it pertains to pre-surgical planning and perinatal management. However, it should not be considered a replacement for ultrasonography, which continues to be the gold standard for fetal anatomic evaluation.
目的
评估磁共振成像（MRI）在脊髓脊膜膨出管理中的作用。
背景
脊柱裂或神经管缺陷（NTD）包括一组异质性的先天性脊柱异常，这些异常是由于妊娠早期神经管闭合缺陷所致。脊髓脊膜膨出是最常见的一种可存活的NTD类型，存活率高但会导致终身身体残疾。
结论
MRI在评估NTD方面是超声的重要辅助手段，适用于术前规划和围产期管理。然而，不应将其视为超声检查的替代品，超声检查仍是胎儿解剖评估的金标准。
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