摘要
目的探讨颅脑超声与多模态磁共振成像联合应用在新生儿脑损伤的诊断价值。方法回顾性分析可疑存在脑损伤的新生儿51例,均进行颅脑超声检查及多模态磁共振检查。分别记录颅脑超声检查的结果、多模态磁共振成像的结果、颅脑超声检查与多模态磁共振成像联合应用的结果,以联合应用的结果分别与前两者进行对比。结果联合应用发现硬膜下或蛛网膜下腔出血、脑梗死或神经元坏死、脑实质出血较超声检查多,差异具有统计学意义(P<0.05);发现脑室周围-脑室内出血、脑室周围囊性灶与超声检查一致,差异无统计学意义(P>0.05)。联合应用发现脑室周围-脑室内出血较多模态磁共振成像多,差异具有统计学意义(P<0.05);发现硬膜下或蛛网膜下腔出血、脑室周围囊性灶、脑梗死或神经元坏死、脑实质出血与多模态磁共振成像一致,差异无统计学意义(P>0.05)。结论在新生儿脑损伤诊断中颅脑超声和多模态磁共振成像联合应用可以获得更全面的信息,更利于明确诊断、指导治疗方案的制定。
Objective To investigate the diagnostic value of brain ultrasound combined with multimodal magnetic resonance imaging in neonatal brain injury.Methods 51 cases of neonates with suspected brain injury were retrospectively analyzed,all of which were examined by brain ultrasound and multimodal magnetic resonance.The results of craniocerebral ultrasound,multimodal magnetic resonance imaging,and the combined application of craniocerebral ultrasound and multimodal magnetic resonance imaging were recorded respectively,and the results of the combined application were compared with the first two.Results There were more cases of subdural or subarachnoid hemorrhage,cerebral infarction or neuronal necrosis,and cerebral parenchymal hemorrhage than ultrasonography,the difference was statistically significant(P<0.05).Periventricular hemorrhage and periventricular cystic foci were found to be consistent with ultrasonography,with no statistical significance(P>0.05).The combined application showed that there were more periventricular hemorrhage than intra ventricular hemorrhage,and the difference was statistically significant(P<0.05).Subdural or subarachnoid hemorrhage,periventricular cystic foci,cerebral infarction or neuronal necrosis,and cerebral parenchymal hemorrhage were found to be consistent with multimodal MRI,with no statistical significance(P>0.05).Conclusion The combined application of brain ultrasound and multimodal magnetic resonance imaging in the diagnosis of neonatal brain injury can obtain more comprehensive information,which is more conducive to the clear diagnosis and guide the formulation of treatment.
作者
孙蕾
王松
吕德勇
SUN Lei;WANG Song;LV De-yong(Department of Medical Imaging,Dongying People's Hospital(Dongying Hospital of Shandong Provincial Hospital Group),Dongying 257091,Shandong Province,China;Department of Stomatology,Dongying People's Hospital(Dongying Hospital of Shandong Provincial Hospital Group),Dongying 257091,Shandong Province,China)
出处
《中国CT和MRI杂志》
2025年第8期8-10,共3页
Chinese Journal of CT and MRI
基金
山东省医药卫生科技发展计划项目(202109010604)
东营市2024年度社会科学规划课题DYSK(2024)第506号。
关键词
新生儿
脑损伤
多模态磁共振成像
颅脑超声
Newborn
Brain Injury
Multimodal Magnetic Resonance Imaging
Craniocerebral Ultrasound
