摘要
目的分析新生儿脑室内及脑室周围囊性病变声像图特征,归纳其发生种类,探讨其与胎龄的关联。方法对2012年8月~2016年5月哈尔滨医科大学附属第一医院新生儿科收治有高危因素的974例早产儿、428例足月儿及同时期无高危围产因素孕妇分娩的200例足月新生儿进行颅脑超声观察,分析脑室内及脑室周围囊性病变的构成、分布及声像图特征,及其发生种类与胎龄的相关性。结果(1)早产组侧脑室前角囊肿(FHC)17例,室管膜下囊肿(SEC)病例31例,脉络丛囊肿(CPC)病例8例,脑白质软化(PVL)0例;(2)足月组FHC 3例,SEC 61例,CPC 3例,PVL 0例;(3)对照组FHC 0例,SEC 9例,CPC 1例,PVL 0例;(4)FHC、CPC的发生与胎龄的关系不显著,P>0.05;SEC的发生与胎龄有显著关联,P<0.001。结论 FHC、SEC及CPC是新生儿颅脑超声中所常见的脑室内及脑室周围的囊性病变。新生儿病房收治的足月儿发生SEC的风险最高。
Objective To analyze intraventricular and periventricular cystic lesions of neonatal cranial sonographic features, summarize its occurrence of species, investigate its association with gestational age. Methods High-risk-factor 974 preterm infants were involved, 428 term infants in the neonatal intensive care unit of the First Affiliated Hospital of Harbin Medical Uni- versity and 200 term neonates who had no high-risk perinatal factors during the same period were enrolled in the hospital from August 2012 to May 2016. Intraventricular and periventricu- lar cystic lesions around the composition, distribution and sonographic features, and the occur- rence of species and gestational age correlation were analyzed. Results Seventeen cases of frontal horn cyst ( FHC), 31 cases of subependymal cyst ( SEC), 8 cases of choroid plexuscyst (CPC) , and 0 case of PVL were found in the preterm infant group. Three cases of FHC, 61 cases of SEC, 3 cases of CPC, and 0 case of PVL were found in the term infant group. Zero case of FHC, 9 cases of SEC, 1 cases of CPC, and 0 case of PVL were found in the group without high risk factors. FHC and CPC were not significantly correlated with gestational age, P 〉 0.05. The occurrence of SEC was significantly correlated with gestational age, P 〈 0. 001. Conclusion FHC, SEC and CPC are cystic lesions in the ventricles and periventricles that are common in neonatal brain ultrasound. The INCU term infants have the hightest risk of SEC.
出处
《哈尔滨医科大学学报》
CAS
2017年第4期356-359,共4页
Journal of Harbin Medical University