颅脑B超对新生儿脑损伤的诊断价值

The Value of Craniocerebral Ultrasound in the Diagnosis of Neonatal Brain Injury

摘要: 目的：分析临床上新生儿脑损伤采取颅脑超声诊断的价值。方法：将我院收治的疑似颅脑损伤新生儿120例均给予床旁颅脑超声(观察组)和头颅MRI (对照组)诊断，并且对检查结果进行比较。结果：观察组脑室内出血(I级~IV级)检出率45.0%高于对照组25.1%，但小脑出血5.08%、硬膜下出血2.25%、蛛网膜下腔出血检出率1.67%低于对照组12.5%、11.86%、10.83% (P < 0.05)。结论：颅脑超声和MRI在疑似脑损伤新生儿诊断方面具有一定互补作用，但是颅脑超声在早期筛查和病情随访方面优势更加显著，操作更方便，价值更高。

Abstract: Objective: To analyze the value of cranial ultrasound in the diagnosis of neonatal brain injury. Methods: 59 neonates with suspected craniocerebral injury admitted to our hospital were diagnosed by cranial ultrasound (observation group) and cranial MRI (control group), and the examination results were compared. Results: The detection rate of ventricular hemorrhage (grade I~IV) in the observation group was 49.15% higher than that of the control group 27.12%, but the detection rate of cerebellar hemorrhage was 5.08%, subdural hemorrhage 3.39%, and subarachnoid hemorrhage 1.69% which were lower than those of the control group (13.56%, 11.86%, 13.56% (P < 0.05)). Conclusion: Craniocerebral ultrasound and MRI are complementary in the diagnosis of neonates with suspected brain injury, but the cranial ultrasound has more significant advantages and higher value in early screening and follow-up of the disease.