超声检查对有窒息史新生儿脑室周围回声增强的诊断价值分析

The Analysis of Diagnostic Value of Ultrasonic Examination with Periventricular Echoenhance in Neonatal Asphyxia

目的探讨有窒息史的新生儿、早产儿脑室周围回声增强(PVE)的超声诊断临床价值。方法对57例住院的有宫内或生后窒息史的新生儿进行常规头颅超声检查,发现其中有21例为PVE,通过临床密切观察并定期超声复查,根据图像变化,结合临床,回顾分析对有窒息史的新生儿头颅超声检查的临床价值。结果本组57例有窒息史的新生儿中,有21例确定为PVE,占37%,其中早期死亡3例,出院后失访5例,余13例定期超声复查和随访3～6个月,有4例发展为PVL致残。结论有窒息史的新生儿(尤其是胎龄<34周的早产儿)PVE的发生率较高,而PVE的超声表现典型,故对有该病史的患儿常规进行头颅超声检查很有必要。

OBJECTIVE To explore the clinical value of Ultrasonic Examination with Periventricular Echoenhance （PVE） in neonatal and perinatal infants asphyxia. METHODS 57 Neonatal and perinatal infants with intrauterine asphyxia or perinatal asphyxia underwent routine Head Ultrasonic Examination, 21 cases were definited diagnosed PVE, to retrospectively analyse the clinical value of Ultrasonic Examination with Periventricular Echoenhance （PVE） by close observating, reexamination image change and clinical practice analysis. RESULTS 21 cases （37%） were definited diagnosed PVE in 57 cases with in Neonatal Asphyxia, 3 cases with premature death and 5 cases with failing in follow-up, 13 cases with regularly reexamination and 3-6 months follow-up, 4 cases improved PVE and disablement. CONCLUSIONS The incidence of PVE in neonatal with asphyxia history, special premature-infants （〈34 weeks）. It is necessary for neonatal with asphyxia history, to undergo routine head ultrasonic examination because of typical ultrasonic menifestation