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胎盘下基底层蜕膜间隙的磁共振信号特征及其诊断意义。

Features of MR signals of retroplacental basal decidual space and its diagnostic significance.

出版信息

Technol Health Care. 2024;32(2):727-734. doi: 10.3233/THC-230098.

Abstract

BACKGROUND

With more pregnant women undergoing cesarean section, the number of women with scarring in the uterus undergoing uterine magnetic resonance (MR) examination in the second and third trimesters following a subsequent pregnancy, has increased.

OBJECTIVE

To investigate features of MR signals in retroplacental basal decidual space.

METHODS

The MR imaging data of patients with clinically and pathologically confirmed placenta implantation and complete placental abruption were retrospectively analyzed.

RESULTS

Patients with high-intensity signals in T2-weighted images (T2WI) of the retroplacental basal decidual space did not suffer placenta implantation after delivery, while high-intensity signals in T2WI of the retroplacental basal decidual space was not observed in patients with different degrees of placenta implantation.

CONCLUSION

As the retroplacental basal decidual space is the barrier between the placenta and myometrium, high-intensity signals in T2WI can improve the confidence of MR exclusion diagnostics of placenta implantation, and can be used as exclusion criteria for MR diagnosis of placenta implantation.

摘要

背景

随着越来越多的孕妇接受剖宫产,在后续妊娠的第二和第三个三个月进行子宫磁共振(MR)检查的子宫瘢痕妇女数量增加。

目的

研究胎盘后基底蜕膜空间的 MR 信号特征。

方法

回顾性分析经临床和病理证实的胎盘植入和完全胎盘早剥患者的 MR 成像数据。

结果

分娩后胎盘后基底蜕膜空间 T2 加权图像(T2WI)高信号患者未发生胎盘植入,而不同程度胎盘植入患者的胎盘后基底蜕膜空间 T2WI 未见高信号。

结论

由于胎盘后基底蜕膜空间是胎盘和子宫肌层之间的屏障,T2WI 高信号可以提高 MR 排除胎盘植入诊断的信心,并可作为 MR 诊断胎盘植入的排除标准。

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