新生儿颅脑疾病床边超声的诊断价值

Value of bedside high-frequence ultrasound in diagnosis of neonatal cerebral disease

目的:探讨床边高频超声在新生儿颅脑疾病中的诊断价值。方法:应用二维超声高频探头,以新生儿前囟为声窗,对78例新生儿进行床边颅脑检查,并与CT诊断结果作对比。结果:通过颅脑超声观察到颅内出血(intracranial hemorrhage,ICH)33例,缺氧缺血性脑病(hypoxic-ischemic encephalopathy,HIE)41例,脑发育异常1例,脑内钙化灶3例。除蛛网膜下腔出血(subaracheoid hemorrhage,SAH)外,超声对新生儿颅脑疾病的检出与CT基本相符。结论:超声对新生儿颅脑疾病有较好的诊断价值,应用超声诊断可以实现对新生儿颅脑疾病的动态观察,且无放射损伤,简便、易行、无创、价廉,可重复床边检查。

Objective：To study the value of bedside high-frequence ultrasound in diagnosis of neonatal cerebral disease. Methods： Seventy eight cases of neonatal cerebral disease were examined bedside by ultrasound high frequency probe, and the result was compared with that by computer tomography （CT）. Results： Intracranial hemorrhage was observed in 33 cases, hypoxic-ischemic encephalopathy in 41 cases, encephalodysplasia in 1 case and intracranial calcification in 3 cases by cerebral ultrasound ;The result by ultrasonic examination for cerebral disease coincided with that by computer tomography except subarachnoid hemorrhage, and the changes of the cerebral disease could be monitored by ultrasound. Conclusions ： Ultrasound is of high value in diagnosis of neonatal cerebral disease and has the advantages of no radiation injury, convenience, easy application and cost efficacy.