摘要
目的:探讨超声多探头扫查应用于新生儿颅脑疾病诊断中的临床价值。方法:选取2017年6月-2018年6月于本院进行颅脑检查的517例患儿作为研究对象,均进行单独低频超声检查和超声多探头扫查,比较两者诊断准确率,同时对比两组漏诊、误诊情况。结果:超声多探头扫查组对室管膜下囊肿、室管膜下出血、早产儿脑征象、缺氧缺血性脑病、脑积水的诊断准确率均高于低频超声组,差异均有统计学意义(字2=7.734,P=0.005);超声多探头扫查组出现漏诊1例(1.33%),无误诊情况发生;低频超声组共出现6例(8.00%)漏诊,2例(2.67%)误诊,超声多探头扫查组漏诊率低于低频超声组,差异有统计学意义(P<0.05)。结论:超声多探头扫查在新生儿颅脑疾病诊断中具有其独特优越性,对进一步提高诊断准确率具有重要现实意义,同时为提高治疗预后效果奠定良好基础,具备临床实施意义与应用价值。
Objective:To explore the clinical value of ultrasonic multi-probe scanning in the diagnosis of neonatal craniocerebral disease.Method:From June 2017 to June 2018,517 cases of children with craniocerebral examination in our hospital were selected.They were all given low-frequency ultrasound and multi-probe ultrasound,the diagnosis accuracy,the missed diagnosis and misdiagnosis of neonatal craniocerebral diseases in the two method were compared.Result:The diagnostic accuracy of ultrasound multi-probe scanning group for subependymal cyst,subependymal hemorrhage,premature infant brain signs,hypoxic-ischemic encephalopathy and hydrocephalus were higher than those of low-frequency ultrasound group(Х^2=7.734,P=0.005).In ultrasound multi-probe scanning group,there was 1 case(1.33%)of missed diagnosis and no misdiagnosis.In low-frequency ultrasound group,there were 6 cases(8.00%)of missed diagnosis,2 cases(2.67%)of misdiagnosed.The rate of missed diagnosis in the multi-probe ultrasound group was lower than that in the low frequency ultrasound group(P<0.05).Conclusion:Ultrasonic multi-probe scanning has its unique advantages in the diagnosis of neonatal craniocerebral diseases,and has important practical significance for further improving the diagnostic accuracy.It has a good foundation for improving the treatment prognosis,and has clinical significance and application value.
作者
吴慧菊
曹炎
曾玲
朱滨玉
WU Huiju;CAO Yan;ZENG Ling(Heyuan Women & Children’s Hospital and Health Institute,Heyuan 517000,China)
出处
《中国医学创新》
CAS
2019年第10期152-155,共4页
Medical Innovation of China
基金
河源市科技计划项目(180704120222418)
关键词
超声多探头扫查
低频超声
高频超声
新生儿颅脑疾病
Ultrasonic multi-probe scanning
Low-frequency ultrasound
High-frequency ultrasound
Neonatalcraniocerebral disease
