多层螺旋CT和彩色多普勒超声对诊断新生儿颅脑损伤的有效性分析

Effectiveness of multi-slice spiral CT and color doppler ultrasonography in the diagnosis of neonatal brain injury

目的探讨多层螺旋CT和彩色多普勒超声对诊断新生儿颅脑损伤的有效性。方法选取2019年10月至2020年10月收治的新生儿颅脑损伤患者60例,均接受多层螺旋CT和彩色多普勒超声检查,对比2种检查方式的有效率,观察2组检查方式的影像学表现,所有患儿均经MRI最终确诊为颅脑损伤。结果多层螺旋CT对新生儿颅脑损伤诊断准确率93%略高于彩色多普勒超声组83%,差异有统计学意义(P>0.05)。多层螺旋CT诊断颅内出血检出率38%显著高于彩色多普勒超声组8%,差异有统计学意义(P<0.05);彩色多普勒超声对脑水肿检出率88%高于多层螺旋CT组80%,差异有统计学意义(P>0.05)。结论多层螺旋CT和彩色多普勒超声诊断新生儿颅脑损伤各有利弊,临床可结合应用。

Objective evaluate the effectiveness of multi-slice spiral CT(msct) and color doppler ultrasound(US) in the diagnosis of neonatal brain injury. Methods Sixty cases of Neonatal craniocerebral injury admitted from October 2019 to October 2020 were examined by multi-slice spiral CT(msct) and color doppler ultrasound. The efficiency of the two methods was compared, and the imaging manifestations of the two methods were observed, all pa-tients were finally diagnosed as brain injury by MRI. Results The diagnostic accuracy of multi-slice spiral CT was93% higher than that of color ultrasound 83%(P>0.05). The detection rate of intracranial hemorrhage in msct group was 38% higher than that in color ultrasound group 8%(P<0.05), and the detection rate of cerebral edema in color ultrasound group was 88% higher than that in msct group 80%(P>0.05). Conclusion MSCT and color ultrasound diagnosis of neonatal brain injury have advantages and disadvantages, clinical application can be combined.