Abstract:
Analysis of published data on the possibilities of using postmortem radiation studies in perinatology is carried out and the results of own thanatoradiological studies of the bodies of dead fetuses and newborns are presented. The possibilities of postmortem radiation studies for differential diagnosis of stillborn and deceased newborns, evaluation of the severity of maceration and the time of intrauterine fetal death, detection of pathological changes in the brain and spinal cord, respiratory and digestive organs, in the cardiovascular and urinary systems were demonstrated. It is concluded that postmortem CT has a high diagnostic efficiency in the study of the bone skeleton, free fluid accumulations in serous cavities and gas in the vessels and tissues of dead fetuses and deceased newborns. The advantage of postmortem MRI is more effective visualization of internal organs and soft tissues, which allows assessing their topography and size, as well as identifying a wide range of pathological changes. For a comprehensive objective analysis of the bodies of stillborn and deceased newborns, combined use of both imaging methods (CT and MRI) is required. At the same time, thanatoradiology should be used as a part of a comprehensive pathological study, but not as a substitute for traditional autopsy.
摘要:
对已发表的数据进行了分析,分析了在围生学中使用验尸放射研究的可能性,并介绍了自己对死胎和新生儿尸体进行的影像学研究的结果。尸检放射研究对死胎和死亡新生儿的鉴别诊断的可能性,评估浸渍的严重程度和胎儿宫内死亡的时间,检测脑和脊髓的病理变化,呼吸和消化器官,在心血管和泌尿系统中得到证实。结论尸检CT对骨骼的研究具有较高的诊断效能,浆膜腔中的游离液体积聚以及死亡胎儿和死亡新生儿的血管和组织中的气体。死后MRI的优点是更有效地显示内部器官和软组织,允许评估它们的地形和大小,以及识别广泛的病理变化。为了全面客观地分析死胎和死亡新生儿的身体,需要同时使用两种成像方法(CT和MRI)。同时,应将乳腺放射学作为全面病理研究的一部分,但不能代替传统的尸检.