摘要
目的探讨MRI在无症状高胆红素血症新生儿检查诊断中的临床意义。方法选取我院2018年1月至2018年12月进行头颅MRI检查的高胆红素血症新生儿共80例,按其有无临床症状分为对照组和观察组,对两组患者的MRI成像结果及双侧苍白球T1WI、T2WI信号强度及扩散系数值进行分析。结果观察组患者中有10例出现双侧苍白球对称性T1WI高信号,对照组患者17例出现双侧苍白球对称性T1WI高信号。观察组苍白球T1WI、T2WI信号强度明显低于对照组,差异具有统计学意义(P<0.05)。两组患者双侧苍白球扩散系数值ADC、eADC值比较,差异无明显统计学意义(P>0.05)。结论常规头颅MRI检查能及早发现无症状高胆红素血症新生儿早期脑部病变,为疾病的早期诊断、疗效评估提供影像学依据。
Objective To investigate the clinical significance of MRI in the diagnosis of asymptomatic hyperbilirubinemia neonates.Methods A total of 80 neonates with hyperbilirubinemia who accepted MRI examination from January 2018 to December 2018 were divided into two groups according to their clinical symptoms:control group and observation group.The signal intensity on T1WI and T2WI sequences and ADC value of bilateral globus pallidus were compared between the two groups.Results In the observation group,there were 10 patients demonstrated bilateral globus pallidus symmetric high signal on T1WI sequence,while 17 patients demonstrated high signal in the control group.The signal intensity of globus pallidus on T1WI and T2WI sequences in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in ADC and eADC value between the two groups(P>0.05).Conclusion Routine cranial MRI examination helps to detect early brain lesions of asymptomatic hyperbilirubinemia newborns at an early stage,and provide imaging basis for the early diagnosis and curative effect evaluation of the disease.
作者
王珍
余海波
WANG Zhen;YU Hai-bo(Department of Radiology,Xinyang Central Hospital,Xinyang 464000,Henan Province,China)
出处
《中国CT和MRI杂志》
2020年第12期10-12,F0003,共4页
Chinese Journal of CT and MRI
