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体内有植入物 磁共振检查须谨慎--亲稳网络舆情监控室
2013-03-13

  体内植入物,泛指通过各种渠道进(置)入体内,并长期驻留体内的异物。根据体内植入物在磁场中的表现,一般可分为铁磁性和非铁磁性两大类,非铁磁性植入物又有金属性和非金属性之分。

Implant in the body,Refers to through various channels(buy)In the body,And long term resident of foreign body in the body.According to implant in the magnetic field in the body,Can generally be divided into two major categories of ferromagnetism and non ferromagnetic,Non ferromagnetic implants and metallicity and nonmetal.

  过去,一概将铁磁性植入物看做是磁共振检查禁忌症的观点是不全面的,那些在磁场中位移很小,或所受磁力不大的植入物患者,是可以接受磁共振检查的。而那些体内有铁磁性的动脉瘤夹和止血夹、人造耳蜗或眼内有铁磁性物质的病人,以及带有起搏器、电子刺激仪的病人,是严禁做磁共振检查的。因为磁场对铁磁性植入物的种种影响,会妨碍诊断,可能对人体造成不同程度的生理损伤,还危及患者生命。

In the past,Altogether with the ferromagnetic implants magnetic resonance imaging as a contraindication of view is not comprehensive,In the magnetic field of displacement is very small,Or implant patients by magnetic force is not big,Magnetic resonance imaging is acceptable.And those in the body has a ferromagnetic aneurysm clips and hemostatic clamp/Artificial cochlea or eye contains the patient of ferromagnetic material,And with a pacemaker/Electronic stimulator of the patient,It is forbidden to do mri examination.Because the magnetic field effects of ferromagnetic implants,Get in the way of diagnosis,May cause varying degrees of physical damage to human body,Also endanger patient life.

  非铁磁性金属植入物可以做磁共振检查,但会导致图像出现不同程度的金属伪影。比如骨科材料中的不锈钢、纯钛或一些合金材料;口腔材料中的银汞合金、钛合金、金属烤瓷冠、纯银、纯金、钯等贵重材料;妇科常用宫内节育器中,以含有不锈钢丝成分的节育器伪影比较严重。非铁磁性非金属性植入物,做磁共振检查就是安全的了。

The ferromagnetic metal implants can do magnetic resonance imaging,But can result in images appear different degree of metal artifacts.Such as bone material of stainless steel/Pure titanium or some alloy;Silver amalgam of dental materials/Titanium alloy/Metal porcelain crowns/Sterling silver/Pure gold/Palladium and other precious materials;Of department of gynaecology commonly used in the intrauterine device,To contain stainless steel wire part of synthetic artifact is more serious.Non ferromagnetic non-metallic implants,Do magnetic resonance examination is safe.

  做检查前,患者及工作人员都要对所用植入物有一个充分的了解,搞清植入物类型、植入时间、植入物位置等细节;然后根据植入物类型及检查部位,对执行扫描的风险和该检查对病人的帮助,进行综合评估,区别对待。对于不明体内植入物者,应进行预检,必要时改做其他检查。(作者系长沙市中心医院放射科主治医师)  胡云平

Do check before,Patients and staff must have a sufficient knowledge of the implants used,Understand types of implants/Implanted in the time/Implant location and other details;Then depending on the type of implant and inspection area,At the risk and to scan the check to the patient's help,Comprehensive assessment,To discriminate.For the unknown implant in the body,Should be preview,When it is necessary to do other tests.(The author is changsha central hospital radiology doctor)Hu Yunping

 



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