颅脑超声对新生儿颅内病变88例的诊断分析  

Diagnostic analysis of 88 neonates with intracranial lesions by cerebral ultrasonogram

作　　者：刘芳[1] 刘亚[1] 任鸿淼 

机构地区：[1]河南省漯河市中心医院,462000 [2]漯河市源汇区妇幼保健院

出　　处：《中国实用医刊》2013年第23期64-65,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨颅脑超声在新生儿颅内病变诊断中的价值。方法选取2011年1月至2012年12月漯河市中心医院新生儿科临床拟诊新生儿颅内疾病的患儿88例，应用颅脑超声检查患儿脑组织结构，同时应用彩色多普勒技术观察大脑动脉的分布及颅底动脉环的循环，将诊断结果与CT、MRI及临床诊断结果对照、分析。结果在88例临床拟诊新生儿颅内病变的病例中，超声检查阳性51例，其中缺氧缺血性脑病31例（35．2％），脑室周围一脑室内出血10例（11．4％），脑室扩张8例（9．1％）。结论颅脑超声在新生儿颅内病变的诊断具有重要诊断价值，对临床治疗方式的选择有重要的指导意义。Objective To investigate the value of cerebral uhrasonogram in the diagnosis of intracra- nial lesions of neonate. Methods Eighty-eight cases of neonate prospectively diagnosed with intraeranial le-sions from January 2011 to December 2012 in Department of Neonates, Luohe Center Hospital were chose. The brain structure of the cases was examined by cerebral ultrasonogram, meanwhile the distribution of cerebral ar-tery and the circulate of skull base artery ring was observed by colored doppler. The diagnosis results based on ultrasonogram, compared with CT, MRI and clinical diagnosis were analyzed. Results In the 88 eases, 51 eases were diagnosed with intraeranial lesions based on uhrasonogram, including 31 cases（35.2% ） of hy-poxie-ischemic eneephalopathy, 10 eases（ 11. 4% ） of intraventricular hemorrhage, 8 eases（9.1% ） of ventrieu-lar dilation. Conclusions Cerebral ultrasonogram contributes to assessment of intracranial lesions in neonate, and brings profound guiding significance in the choice of clinical treatment.

关 键 词：颅脑超声 新生儿 颅内病变 

分 类 号：R445.1[医药卫生—影像医学与核医学] R722.1[医药卫生—诊断学]