摘要
目的新生儿缺氧缺血性脑病是指各种围生期窒息引起的部分或完全缺氧、脑血流减少的脑损伤,影像学检查一直是临床研究的重点和难点。为此本文拟探讨新生儿缺氧缺血性脑病早期CT及MRI诊断检查的差异。方法通过收集2016年3月-2018年10月本院缺氧缺血性脑病的100例新生儿,入院后均进行CT和MRI检查。对比CT和MRI对缺氧缺血性脑病的正确率;CT与MRI诊断缺氧缺血性脑病的灵敏度、特异度。结果 MRI对缺氧缺血性脑病的正确率高于CT(P <0.05);MRI诊断缺氧缺血性脑病的灵敏度、特异度高于CT,(P<0.05)。结论新生儿缺氧缺血性脑病的诊断中,CT诊断符合率和检出率低于MRI,MRI检查具有明显优势。
Objective Neonatal hypoxic-ischemic encephalopathy(HIE) is a kind of brain injury caused by partial or complete hypoxia and reduced cerebral blood flow caused by various perinatal asphyxia. Imaging examination has always been the focus and difficulty of clinical research.To investigate the differences in early CT and MRI diagnosis of neonatal hypoxic ischemic encephalopathy. Methods One hundred neonates with hypoxic ischemic encephalopathy in our hospital from March 2016 to October 2018 were enrolled. CT and MRI were performed after admission. To compare the accuracy of CT and MRI in the diagnosis of hypoxic ischemic encephalopathy;the sensitivity and specificity of CT and MRI in the diagnosis of hypoxic ischemic encephalopathy. Results The correct rate of MRI for hypoxic ischemic encephalopathy was higher than that of CT. There was a difference between the two groups(P<0.05). The sensitivity and specificity of MRI in the diagnosis of hypoxic ischemic encephalopathy were higher than those of CT(P<0.05). Conclusion In the diagnosis of neonatal hypoxic ischemic encephalopathy, the coincidence rate and detection rate of CT diagnosis are lower than MRI, and MRI has obvious advantages.
作者
刘波
LIU Bo(Department of Neonatology,Ezhou Maternal and Child Health Hospital,Ezhou Hubei 436000,China)
出处
《中国继续医学教育》
2020年第9期91-93,共3页
China Continuing Medical Education
