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目的探讨颅脑超声检查在高危新生儿颅内疾病中的诊断价值。方法选择2014年11月~2015年12月我院收治的80例高危新生儿作为研究对象,使用颅脑超声检查患儿脑实质及双侧大脑半球回声结构,对双侧脉络丛的宽度和双侧侧脑室前角的宽度进行测量,再对80例患儿进行头部CT检查。结果 80例患儿中有18例为脑室扩张,有20例为脑内出血,有缺血缺氧性脑病25例,有6例为室管膜下囊肿,有11例为脑室周围白质软化,排除网膜下腔出血及小脑内出血、硬脑膜下出血等检查结果以外,超声检查结果和CT检查结果及临床正常基本一致。结论应用颅脑超声检查对于高危新生儿颅内疾病诊断具有极高的价值,而且超声检查操作方便,不会对患儿造成放射性损害,尤其对患儿颅脑中央分辨能力较强。
Objective To investigate the diagnostic value of brain ultrasound in high-risk neonatal intracranial disease. Methods Eighty high-risk neonates admitted to our hospital from November 2014 to December 2015 were enrolled in this study. Echocardiography was used to examine the brain parenchyma and bilateral hemispheric echogenic structures in children. The bilateral choroid plexus width and double Lateral ventricle width of the anterior horn were measured, and then 80 cases of head CT examination. Results Among the 80 cases, 18 cases had ventricular dilatation, 20 cases had intracerebral hemorrhage, 25 cases had hypoxic ischemic encephalopathy, 6 cases had subependymal cyst, 11 cases had periventricular leukomalacia, excluding Subretinal hemorrhage and intracerebral hemorrhage, subdural hemorrhage and other test results, the results of ultrasound and CT findings and clinical findings are basically the same. Conclusion The application of craniocerebral ultrasound is of great value in the diagnosis of intracranial disease in high-risk neonates. And the operation of sonography is convenient and will not cause radioactive damage to the children, especially for children with central brain resolution.