颅脑超声成像在窒息新生儿颅脑疾病的应用分析  

Analysis of the Application of Craniocerebral Ultrasound Imaging in the Craniocerebral Disease of Asphyxia Neonatorum

作　　者：芦钺[1] 郑义[2] 

机构地区：[1]承德市中心医院超声诊断科 [2]承德市中心医院CT/MRI室

出　　处：《世界最新医学信息文摘》2017年第87期23-24,共2页World Latest Medicine Information Electronic Version

基　　金：承德市科学技术研究与发展计划项目(项目编号:20142003;项目名称:超声;CT;MRI在新生儿脑白质病变的对比研究)

摘　　要：目的探讨颅脑超声成像在窒息新生儿颅脑病变的诊断价值。方法选取本院2015年9月至2016年12月收治的36例窒息新生儿作为研究对象,所有患儿均经家属签署知情同意书后,行超声、MRI检查,以MRI检查结果为金标准,分析超声在窒息新生儿颅脑疾病诊断中的检出率、敏感性、特异度等。结果窒息程度与颅脑疾病的发生存在相关性,差异有统计学意义(χ~2=4.702,P<0.001),重度窒息容易引起颅脑疾病的发生。以MRI检查结果为金标准,超声诊断颅脑疾病灵敏度为96.43%、特异度87.5%。结论颅脑超声成像对窒息新生儿颅脑病变的诊断灵敏度、特异性均较高,操作简单、安全没有辐射性、能够进行重复性检查,MRI成像可以作为补充检查手段。Objective To explore cerebral ultrasound imaging in the diagnosis value of asphyxia newborn brain lesions.Methods 36 cases of asphyxia newborn received and treated in our hospital from September 2015 to December 2016 were chosen as the research object, all children patients were examined by ultrasonography and MRI after the family members signed the informed consent. The MRI test results were gold standard. The detection rate, sensitivity and specificity of ultrasound in the diagnosis of neonatal brain diseases were analyzed. Results There was significant correlation between the degree of asphyxia and the occurrence of craniocerebral diseases, the difference was statistically significant(χ~2=4.702, P<0.001), and severe asphyxia was easy to cause the occurrence of brain diseases. The result of MRI examination was gold standard, the sensitivity of ultrasonic diagnosis of craniocerebral diseases was 96.43%, and the specificity was 87.5%. Conclusion The diagnostic sensitivity and specificity of craniocerebral ultrasound in neonatal asphyxia brain lesions are high, the operation is simple and safe, there is no radiation, repeated examination can be performed, MRI imaging can be used as a supplementary examination means.

关 键 词：超声 MRI 窒息新生儿 颅脑疾病 

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]