颅脑超声检查对高危新生儿颅内疾病的诊断价值  

Diagnostic value of cerebral ultrasound in intracranial diseases of high-risk premature infants

作　　者：杨希[1] 黄月[1] 蒙萌[2] 吴盛正[1] 龚金玲[1] 潘旭[1] 徐亚丽[1] 卓忠雄[1] 

机构地区：[1]第三军医大学新桥医院超声科 [2]第三军医大学新桥医院儿科

出　　处：《临床超声医学杂志》2014年第4期268-270,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的评价颅脑超声检查在高危新生儿颅脑疾病诊断中的应用价值,提高其诊断准确率。方法对我院收治的527例高危新生儿行颅脑超声检查,对临床高度怀疑有颅脑疾病者同时行头颅MRI检查,分析总结其声像图特点。结果超声检查发现缺氧缺血性脑病95例(18.0%),颅内出血173例(32.85%),脑周围白质软化23例(4.4%),脑积水52例(9.9%),颅内感染7例(1.3%),均经MRI或临床随访证实。结论超声检查能够协助临床对高危新生儿颅脑疾病做出早期诊断,操作便捷,可作为新生儿颅脑疾病筛查的首选影像学检查方法。Objective To evaluate the diagnostic value of cerebral uhrasound in cranial diseases in high-risk premature infants for the improvement of the diagnostic accuracy.Methods A total of 527 high-risk premature infants were examined by cere- bral ultrasound.Those who were clinically suspicious of cranial diseases without positive ultrasonography findings were examined by cranial magnetic resonance imaging. Results Ninty-five cases （18.0%） of hypoxic-ischemic encephalopathy, 173 cases （32.85%） of intracranial hemorrhage, 23 cases （4.4%） of periventricular leukomalacia, 52 （9.9%） cases of hydrocephalus and 7 cases （1.4%） of intracranial infection were found by cerebral ultrasound.All of them were confirmed by follow-up or magnetic resonance imaging. Conclusion Cerebral ultrasound can provide a definite diagnosis of cerebral diseases at early stage for high-risk premature infants, and may be the preferred imaging examination due to its noninvasiveness, painlessness and convenience.

关 键 词：超声检查 颅脑 高危新生儿 颅内疾病 

分 类 号：R445.1[医药卫生—影像医学与核医学]