摘要
目的：探讨医学影像学在诊断先天性联体畸形中的价值，以便做好分离术前准备。材料与方法：收集我院两例联体婴儿的消化道造影、CT、MRI、核医学等影像学资料，分析各自特异性表现。结果：联体婴儿1肝脏相连，心包有轻度的粘连，相连的肝脏没有大血管交通，其代谢、功能正常，各自具有完整独立的胆道系统、消化系统、泌尿系统。联体婴儿2心脏、肝脏相连,其它部位没有相连。结论：联体婴儿的影像学资料比较全面地反映了相连脏器的相连程度及其血管沟通和代谢、功能情况，能够较准确地指导分离手术方案的制定,医学影像检查的综合应用是联体畸形分离术成功的重要保障。
Abstract
Objective: To explore medical imaging in the diagnosis of conjoined twins, in order to get ready for operative separation. Materials and Methods: Two cases of conjoined twins imaging data were collected including GI and CT, MRI and radionuclide imaging of our hospital, their special symptoms were analyzed. Results: The liver of the first conjoined twins joined together, their pericardia conglutinated mildly, there was no crossed big blood vessel in the liver, and the liver’s metabolism and function were normal. Both of them have independent bile duct system, digestive system and urinary system. The heart and liver of the second conjoined twins joined together, and there was no other conjoint organ. Conclusion: Conjoined twins imaging data almost fully reflect the extent of the united viscera and its crossed blood vessel, metabolism and function, which can guide surgeons to establish operation planning. Combined imaging modalities plays the important role to insure successful operative separation.
关键词
双生 /
联体 /
体层摄影术 /
X线计算机 /
磁共振成像 /
放射性核素显像
Key words
twins /
conjoined /
tomography /
X-ray computed /
magnetic resonance imaging /
radionuclide imaging
陈 东;欧光乾;杨述根;傅嘉庆;张义质;韩福刚;唐光才;胡 鹏;黄占文.
医学影像学在诊断先天性联体畸形中的价值[J]. 中国临床医学影像杂志. 2006, 17(11): 629-632
CHEN Dong;OU Guang-qian;YANG Shu-gen;FU Jia-qing;ZHANF Yi-zhi;HAN Fu-gang;TANG Guang-cai;HU Peng;HUANG Zhan-wen.
Medical imaging valuation in the diagnosis of conjoined twins[J]. Journal of China Clinic Medical Imaging. 2006, 17(11): 629-632
中图分类号：
Ｒ726.2
Ｒ814.42
Ｒ445.2
Ｒ817.4
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