螺旋CT在新生儿缺血缺氧性脑病诊断中的应用

Application of SCT scanning in neonates with hypoxic ischemic encephalopathy

目的分析新生儿缺氧缺血性脑病(HIE)的螺旋CT表现与特点,提高CT诊断的准确性。方法对有围产期窒息史,且有临床症状的258例HIE病例进行螺旋CT检查,将其CT表现特征进行归纳,并作CT分度。结果258例HIE中,结合文献按受累脑叶范围分轻、中、重度,其中轻度139例,中度62例,重度57例。结论HIE的CT表现颇具特征性,结合临床资料及新生儿正常影像学表现可作出正确的诊断和分度。

Objective To evaluate the significance and characteristics of spiral CT scanning in diagnosis of hypoxic ischemic encephalopathy （HIE） in neonates. Materials and Methods Spiral CT scanning was performed in 258 patients with HIE and they were graded according to the manifestations of CT scanning. Results Among these 258 cases of HIE, 139 cases were mild,62 cases were moderate, and 57 cases were severe. Conclusion There was significant characteristics in CT scanning of HIE, and its correct diagnosis can be made by spiral CT scanning in combination with clinical data.