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妊娠急腹症的急症 MRI:常见病理及影像学表现综述。

Emergent MRI for acute abdominal pain in pregnancy-review of common pathology and imaging appearance.

机构信息

Department of Radiology, University of Cincinnati Medical Center, 234 Goodman Street, Cincinnati, OH, 45267, USA.

Department of Radiology, University of California Los Angeles Medical Center, 10833 Le Conte Avenue, Los Angeles, CA, 90095, USA.

出版信息

Emerg Radiol. 2020 Apr;27(2):205-214. doi: 10.1007/s10140-019-01747-3. Epub 2020 Jan 5.

DOI:10.1007/s10140-019-01747-3
PMID:31902010
Abstract

Acute abdominal pain in pregnancy remains a clinically challenging presentation, often requiring imaging. The threat of morbidity and mortality to both mother and fetus necessitates quick and accurate imaging diagnosis, often via ultrasound. However, many of the common causes of acute abdominal pain are not readily diagnosed with sonography, and magnetic resonance imaging (MRI) is increasingly favored in this setting. The purpose of this review is to familiarize the reader with common pathologies which may be encountered in pregnant females presenting with acute abdominal pain requiring emergent MRI.

摘要

孕妇的急性腹痛仍然是一种具有临床挑战性的表现,通常需要进行影像学检查。母亲和胎儿都有发病和死亡的威胁,因此需要快速准确的影像学诊断,通常通过超声进行。然而,许多常见的急性腹痛原因用超声无法轻易诊断,在这种情况下磁共振成像(MRI)越来越受到青睐。本文的目的是使读者熟悉在需要紧急 MRI 的急性腹痛孕妇中可能遇到的常见病理情况。

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本文引用的文献

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ACOG Practice Bulletin No. 189: Nausea And Vomiting Of Pregnancy.美国妇产科医师学会实践公告第189号:妊娠恶心和呕吐
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Differentiating perforated from non-perforated appendicitis on contrast-enhanced magnetic resonance imaging.在对比增强磁共振成像上鉴别穿孔性阑尾炎与非穿孔性阑尾炎。
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What to Expect When They are Expecting: Magnetic Resonance Imaging of the Acute Abdomen and Pelvis in Pregnancy.
卵巢囊肿的磁共振成像(MRI)检查如何促成了宫颈短小的诊断。
BMC Pregnancy Childbirth. 2025 Mar 4;25(1):235. doi: 10.1186/s12884-025-07297-6.
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Front Med (Lausanne). 2024 Jul 3;11:1387043. doi: 10.3389/fmed.2024.1387043. eCollection 2024.
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