超声联合MRI在新生儿颅内出血性疾病中的诊断价值<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2021.04.005

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摘要 【目的】 探讨超声联合颅脑核磁共振成像(MRI)在新生儿颅内出血性疾病中的诊断价值。【方法】 回顾性分析在本院诊治的100例颅内出血患儿的临床资料,入组患儿均行超声及颅脑MRI检查,对比分析单独或联合超声及颅脑MRI诊断新生儿颅内出血性疾病的确诊率。【结果】 在100例颅内出血患儿中,临床确诊脑实质出血11例,蛛网膜下腔出血13例,硬膜下出血15例,脑室周围-脑室内出血61例;超声诊断脑实质出血9例,脑室周围-脑室内出血61例,硬膜下出血3例,蛛网膜下腔出血2例,确诊率为75.00%(75/100); MRI诊断脑实质出血11例,脑室周围-脑室内出血47例,硬膜下出血13例,蛛网膜下腔出血12例,确诊率为83%(83/100)。单独使用超声检查诊断颅内出血的总确诊率与单独使用MRI检查比较差异无统计学意义(P<0.05);但两者联合诊断颅内出血的总确诊率(97%,97/100)显著高于单独使用超声检查和单独使用MRI检查,其差异有统计学意义(P<0.05)。【结论】 超声与MRI均可诊断不同类型的新生儿颅内出血,两者单独诊断新生儿颅内出血的确诊率比较差异无统计学意义,但两者联合检测可显著提高新生儿颅内出血性疾病的确诊率。

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	缪雨田
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	骆迎春
	龙煜

关键词 ：婴儿,新生, 颅内出血/诊断, 超声检查, 磁共振成像

Abstract：【Objective】 To explore the application value of ultrasound combined with craniocerebral MRI(Magnetic Resonance Imaging) in the diagnosis of neonatal intracranial hemorrhagic disease. 【Methods】 The clinical data of 100 children with intracranial hemorrhage admitted to our hospital were retrospectively analyzed. All cases underwent color Doppler ultrasound and cranial MRI examination. The diagnostic accuracy of single ultrasound or MRI was compared to that of ultrasound combined with MRI in the diagnosis of neonatal intracranial hemorrhagic disease. 【Results】 Among 100 children with intracranial hemorrhage, 11 cases were clinically diagnosed with cerebral parenchymal hemorrhage, 13 cases with subarachnoid hemorrhage, 15 cases with subdural hemorrhage, 61 cases with periventricular-intraventricular hemorrhage. The ultrasound detected 9 cases of cerebral parenchymal hemorrhage, 61 cases of periventricular-intraventricular hemorrhage, 3 cases of subdural hemorrhage, 2 cases of subarachnoid hemorrhage; so the diagnosis rate was 75.00% (75/100). MRI diagnosed 11 cases of cerebral parenchymal hemorrhage, 47 cases of periventricular-intraventricular hemorrhage, 13 cases of subarachnoid hemorrhage and 12 cases of subarachnoid hemorrhage. The diagnosis rate with MRI was 83% (83/100). There was no statistically significant difference in the accuracy of ultrasound and MRI in diagnosing intracranial hemorrhage (75.00% vs 83.00%,χ²=2.485,P=0.115). However, the accuracy of ultrasound + MRI in diagnosing intracranial hemorrhage was significantly higher (97.00% vs 75.00% vs 83.00%,χ²=19.451,P<0.001). 【Conclusion】 Both color Doppler ultrasound and MRI can detect and diagnose different types of intracranial hemorrhage. When the two methods are used separately, there is no significant difference in the accuracy of neonatal intracranial hemorrhage diagnosis. Combination of ultrasound and MRI detection can improve the diagnostic accuracy of neonatal intracranial hemorrhagic disease.

Key words： Infant, Newborn Intracranial Hemorrhages/DI Ultrasonography Magnetic Resonance Imaging

收稿日期: 2021-02-05

中图分类号:

R743.34

基金资助:* 湖南省出生缺陷协同防治科技重大专项(编号:2019SK1010);湖南省自然科学基金(编号:2019J50296);湖南省卫生计生委科研计划课题项目(编号:C2017054)

通讯作者: ** E-mail:15343689@qq.com

引用本文:

缪雨田, 邝海燕, 骆迎春, 龙煜. 超声联合MRI在新生儿颅内出血性疾病中的诊断价值^*[J]. 医学临床研究, 2021, 38(4): 497-500.
MIAO Yu-tian, KUANG Hai-yan, LUO Ying-chun, et al. Application Value of Ultrasound Combined with MRI in Diagnosis of Neonatal Intracranial Hemorrhage. JOURNAL OF CLINICAL RESEARCH, 2021, 38(4): 497-500.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.04.005 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I4/497