摘要
目的探讨新生儿室管膜下囊肿与脉络丛囊肿特点及转归差异,并分析囊肿预后的影响因素。方法回顾分析内蒙古自治区妇幼保健院2019年12月01日至2020年12月01日期间所有行颅脑超声检查足月儿共6464例,依据纳入及排除标准选取71例室管膜下囊肿患儿(SEC组)和41例脉络丛囊肿患儿(CPS组)作为研究对象。分析两组患儿囊肿观察日开始至6个月龄时消失情况,绘制两组囊肿累计生存曲线,探究多种因素,包括囊肿类型(室管膜下或脉络丛)、大小、有无分隔、内部回声(透声清亮、透声浑浊)以及囊肿位置(脑室左侧、右侧、双侧)对囊肿转归的影响。结果SEC组与CPS组比较,性别分布无差异(P=0.308),但囊肿直径明显大于CPS组(P=0.000)。SEC组囊肿多数位于颅脑双侧(46.5%),内部多为无分隔(77.5%),且回声浑浊(60.6%)。而CPS组囊肿多数位于颅脑左侧(58.5%),内部为无分隔(100.0%),且多数回声清亮(90.2%)。截至到随访结束(患儿6月龄),SEC组几乎全部囊肿消失(93.0%),而CPS组囊肿大部分未消失(90.2%),两组囊肿转归存在巨大差异(P=0.000)。多因素Cox回归显示,囊肿类型和囊肿直径是囊肿转归独立影响因素。结论SEC与CPS两组在囊肿特点及转归上存在较大差异,截至到患儿6月龄,SEC组几乎全部囊肿消失(93.0%),CPS组囊肿大部分未消失(90.2%)。此外囊肿转归还与囊肿大小有关,与患儿性别、囊肿在颅脑左右侧、有无分隔、内部回声无关。
ObjectiveTo investigate the characteristics and prognosis of neonatal subependymal cyst and choroid plexus cyst,and to analyze the prognostic factors.Methods A total of 6464full-term infants who underwent brain ultrasound examination in Inner Mongolia Maternal and Child Health Hospital from December 1,2019to December 1,2020were retrospectively analyzed.According to the inclusion and ex-clusion criteria,71children with subependymal cysts(SEC group)and 41children with choroid plexus cysts(CPS group)were selected as the research objects.Analyze the disappearance of cysts in the two groups at the age of six months,draw the cumulative survival curve of cysts in the two groups,and explore the effects of various factors,including cyst type(subependymal or choroid plexus),size,separation,inter-nal echo(clear and turbid sound transmission)and cyst location(left,right and bilateral ventricles)on the prognosis of cysts.Results There was no difference in gender distribution between SEC group and CPS group(P=0.308),but the cyst diameter was significantly larger than that in CPS group(P=0.000).In SEC group,most of the cysts were located on both sides of the brain(46.5%),most of them were undivid-ed(77.5%)and the echo was turbid(60.6%).In CPS group,most of the cysts were located on the left side of the brain(58.5%),the interior was undivided(100.0%),and most of the echoes were clear(90.2%).By the end of follow-up(six months old),almost all cysts in SEC group had disappeared(93.0%),while most cysts in CPS group had not disappeared(90.2%).There was a great difference in the prognosis of cysts between the two groups(P=0.000).Multivariate Cox regression showed,Cyst type and cyst diame-ter are independent influencing factors of cyst outcome.Conclusions There were significant differences in cyst characteristics and prognosis between SEC and CPS groups.By the age of six months,almost all cysts in SEC group had disappeared(93.0%),and most cysts in CPS group had not disappeared(90.2%).In addition,the prognosis of the cyst was also relat
作者
张宁
ZHANG Ning(Department of Ultrasound,Inner Mongolia Maternal and Child Health Hospital,Hohht 010050 China)
出处
《内蒙古医学杂志》
2022年第6期694-697,共4页
Inner Mongolia Medical Journal
关键词
颅脑超声
室管膜下囊肿
脉络丛囊肿
cranial ultrasound
subependymal cysts
choroid plexus cysts
