静音磁共振技术提高儿童头颅检查成功率的应用价值
CSTR:
作者:
作者单位:

作者简介:

尹世更,男,主管技师,主要研究方向是医学影像技术。

通讯作者:

中图分类号:

R 445.2

基金项目:


Application Value of Silent Magnetic Resonance Technology to Improve the Success Rate of Children's Head Examination
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘 要目的:探讨静音磁共振技术提高儿童头颅磁共振成像(MRI)检查成功率及降低镇静剂使用量的临床应用价值。 方法:选取郑州市第一人民医院 2018 年 4 月至 2018 年 7 月行头颅 MRI 检查的患儿 490 例,以 4 岁为界分为两组,镇静组 (210 例) 与 非 镇 静 组(280 例)。 镇 静 组 随 机 均 分 为 A、B、C 3 个 亚 组, 分 别 采 用 0.7 mL·kg-1 、0.5 mL·kg-1 、 0.5 mL·kg-1 水合氯醛灌肠镇静,其中 A、B 组采用常规序列扫描,C 组采用静音序列扫描。非镇静组按照不同年龄分成 4 个 亚组,每组 70 例,D、E 组为 4 ~ 6 岁患儿,F、G 组为 6 岁以上患儿,D、F 组采用常规序列扫描,E、G 组采用静音磁共 振技术扫描。在检查成功的患儿中随机抽取常规及静音序列资料各 100 份,对比图像质量。 结果:镇静组中,C 组检查成 功率达到 82.9 %,略高于 A 组的 72.9 %,差异无统计学意义(P > 0.05),明显高于 B 组的 60.0 %,差异具有统计学意义 (P < 0.05);A 组检查成功率为 72.9 %,高于 B 组的 60.0 %,但差异无统计学意义(P > 0.05);C 组非镇静组中,E 组 检查成功率为 91.4 %,明显高于 D 组的 74.3 %,差异具有统计学意义(P < 0.05);G 组检查成功率达到 98.6 %,与 F 组的 98.6 % 比较,差异无统计学意义(P > 0.05)。图像质量方面,静音序列所得图像质量与常规序列图像质量具有较高一致性 (Z = 0.644,P = 0.520),两种不同检查方式均能获得满足诊断要求的图像。 结论:静音序列能提高儿童磁共振检查成功率, 同时也能确保图像质量,且可降低不配合患儿的镇静剂使用剂量。

    Abstract:

    AbstractObjective To investigate the clinical application volue of silent magnetic resonance techniques to improve the success rate of children's head examination by magnetic resonance imaging (MRI) and reduce the use of sedatives. Methods A total of 490 children in Zhengzhou First People's Hospital from April 2018 to July 2018 were divided into two groups, The sedation group (210 cases) and non-sedation group (280 example), bounded by the age of 4 years. The sedation group was randomly divided into 3 subgroups of A, B, and C, respectively, 0.7 mL·kg-1, 0.5 mL·kg-1, 0.5 mL·kg-1 hydrated chlorofloxal chloride enema, A, B group adopted regular sequence scanning, C group uses a silent sequence scanning. non-sedation group was divided into 4 subgroups at different ages, 70 cases of each group, D, E group were 4 to 6 years old of children, F, G groups were over 6 years old. D, and F group used conventional sequence scanning, E and G group used the silent magnetic resonance technology. Randomly extract 100 parts of the routine and silent sequence data in which successful cases were randomly extracted. Results In the sedation group, the success rate of group C was 82.9%, slightly higher than that of group A (72.9%), and the difference was not statistically significant (P > 0.05). The success rate of group C was significantly higher than that of group B (60.0%), and the difference was statistically significant (P < 0.05). The success rate of examination in group A was 72.9%, higher than that in group B (60.0%), but the difference was not statistically significant (P > 0.05). In the non-sedation group, the success rate of group E was 91.4 %, which was significantly higher than that of group D (74.3 %), and the difference was statistically significant (P < 0.05). The success rate of G group was 98.6%, and the difference was not statistically significant compared with 98.6% of F group (P > 0.05). In terms of image quality, the image quality obtained by silent sequence has a high consistency with that of conventional sequence (Z = 0.644, P = 0.520), and the two different examination methods can obtain images that meet the diagnostic requirements. Conclusion Silent sequence can improve the success rate of child magnetic resonance examination, while ensuring image quality, and can reduce the sedative use dose of the child.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-09-13
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2023-07-20
  • 出版日期:
文章二维码
特别声明

近期有不法分子冒充我刊名义给作者打电话或发邮件,编造各种理由要求添加微信或QQ、伪造复制我刊编辑部公章发放假冒录用通知书等等各种方式试图骗取作者钱财。为强化编辑部工作规范,加强单位公章管理,维护作者的正当权益和财产利益, 我刊在此郑重声明:(1)编辑部与作者沟通方式为电话和邮件,在本刊唯一官方网站(http:/szzxyjhzz.szrch.com)“联系我们”下拉菜单,或者网站最下端信息栏可以查询),绝对不会要求作者添加微信或QQ。 (2)自2025年2月1日起,注销废除“深圳中西医结合杂志编辑部”电子公章;我刊稿件录用通知调整为加盖编辑部实体公章的纸质文件或其扫描件,录用稿件仅收取合理版面制作费和审稿费,收款单位为“深圳市第二人民医院”对公账户,其他加盖电子公章或涉及私人账户者均为伪造假冒。望广大作者提高警惕,谨防上当受骗。 《深圳中西医结合杂志》编辑部

关闭