颅脑超声诊断在缺氧缺血性颅脑损伤围生期窒息患儿中的应用价值

Application value of craniocerebral ultrasound in diagnosis of hypoxic-ischemic craniocerebral injury in children with perinatal asphyxia

目的探讨缺氧缺血性颅脑损伤围生期窒息患儿颅脑超声诊断价值。方法对我院166例围生期窒息患儿分别进行颅脑超声(166例,颅脑超声组)和MRI检测(166例,MRI组),对比两组缺氧缺血性颅脑损伤的检出率和缺氧缺血性颅脑损伤类型。结果两组缺氧缺血性脑病、颅内出血、脑室扩张的检出率、缺氧缺血性脑病的检出类型均无显著差异(P>0.05);129例颅脑超声检测显示为缺氧缺血性脑损害窒息的患儿中,重度窒息以弥漫型改变为主,轻度窒息以局限型改变为主(P<0.05)。结论缺氧缺血性颅脑损伤围生期窒息患儿颅脑超声诊断可正确分辨缺氧缺血性颅脑损伤类型。

Objective To discuss the value of craniocerebral ultrasound diagnosis hypoxic-ischemic craniocerebral injury in children with perinatal asphyxia. Methods A total of 166 cases with perinatal asphyxia in our hospital were examined by craniocerebral ultrasound（166 cases, craniocerebral ultrasound group） and MRI examination（166 cases, MRI examination group）. The detection rate of hypoxic-ischemic craniocerebral injury and the type of hypoxic-ischemic craniocerebral injury were compared between the two groups. Results There were no significant differences in the detection rate of hypoxic ischemic encephalopathy, intracranial hemorrhage, brain chamber dilatation and the type of hypoxic-ischemic craniocerebral injury between the two groups（P〈0.05）. A total of 129 cases of craniocerebral ultrasound examination showed that hypoxic-ischemic craniocerebral injury in children with perinatal asphyxia, severe asphyxia were dominated by diffuse changes, and mild asphyxia were dominated by limited changes（P〈0.05）. Conclusion Craniocerebral ultrasound diagnosis can correctly distinguish the type of hypoxic-ischemic craniocerebral injury in children with perinatal asphyxia.