颅脑超声在新生儿脑室周围——脑室内出血的诊断应用

The application of ultrasound in diagnosis of theperiventricular-intraventricular hemorrhage

目的评价颅脑超声在新生儿脑室周围-脑室内出血诊断中的应用价值。方法设立病例组150例、对照组150例。均在出生后第3～7d对其进行常规颅脑超声检查，并记录相关数据。结果本研究共诊断新生儿脑室周围-脑室内出血167例，其中病例组104例、对照组63例，两者差异有显著意义（P〈0．01）。其中Ⅰ级占53．89％（90／167）、Ⅱ级占27．54％（46／167）、Ⅲ级占10．78％（18／167）、Ⅳ级占7．78％（13／167）。病例组中患儿胎龄越小、出生体重越小，发病率越高，程度越严重（P〈0．05）。结论颅脑超声可以较好诊断新生儿脑室周围一脑室内出血。

Objetive： To assess the application of neonate cerebral ulteasound in diagnosis of the periventricular - intraventricular hemorrhage （PIVH）. Methods： Set up a case group and control group （n -- 150）. All were undwent regular cerebral ultrasound ex- amination in 3 to 7 days after birth, and recorded the related dates. Results： 167 PIVH cases were diagnosed by ultrasound, inclu- ding 104 cases in case group and 63 cases in control group. Both compared, the difference was significant （P 〈 0.01 ）. Of the 167 cases, Ⅰ grade were 53.89% （90/167）, Ⅱ grade were 27.54% （46/167）, Ⅲ grade were 10. 78% （18/167）, Ⅳ grade were 7.78% （13/167）. In case group, the smaller of gestationl age and birth weight, the more serisous the degree of incidence is higher （P 〈 0. 05 ）. Conclusion ： Cerebral ultrasound can diagnose PIVH well, and shoud be as a routine newborn screening and follow - up inspection project.