论文部分内容阅读
目的探讨足月新生儿HIE的影像学诊断特征,提高早期诊断正确率。方法对145例足月新生儿HIE患者影像资料进行回顾分析。结果临床诊断结果:轻度39例,中度75例,重度31例。彩超诊断结果:轻度37例,中度71例,重度29例。CT诊断结果:轻度30例,中度70例,重度30例。彩超诊断阳性人数137例,诊断阳性率94.5%。CT诊断阳性人数130例,诊断阳性率89.7%。结论彩超应作为足月新生儿HIE早期诊断的首选检查方法,CT应作为足月新生儿HIE早期诊断辅助检查方法。两者合理选择,互补应用,必要时结合其他检查,提高早期诊断阳性率。
Objective To investigate the diagnostic features of neonatal HIE in term infants and to improve the accuracy of early diagnosis. Methods The image data of 145 full-term neonates with HIE were retrospectively analyzed. Results of clinical diagnosis: mild in 39 cases, moderate in 75 cases, severe in 31 cases. Color Doppler ultrasound diagnosis results: mild in 37 cases, moderate in 71 cases, severe in 29 cases. CT diagnosis: mild in 30 cases, moderate in 70 cases, severe in 30 cases. 137 cases of color Doppler ultrasound diagnosis, the positive rate of 94.5%. The positive number of CT diagnosis of 130 cases, the positive rate of 89.7%. Conclusions Color Doppler ultrasound should be used as the first choice for early diagnosis of full-term neonatal HIE. CT should be used as a supplementary examination for early diagnosis of HIE in term neonates. Both reasonable choice, complementary application, if necessary, combined with other tests to improve the positive rate of early diagnosis.