切换至 "中华医学电子期刊资源库"

中华脑科疾病与康复杂志(电子版) ›› 2019, Vol. 09 ›› Issue (03) : 146 -149. doi: 10.3877/cma.j.issn.2095-123X.2019.03.005

所属专题: 文献

临床研究

超声多探头检查在新生儿颅脑疾病诊断中的应用
曾玲1, 朱滨玉1, 吴慧菊1, 周乾潮1, 邓文杰1, 肖六妹1,()   
  1. 1. 517000 广东河源,河源市妇幼保健院超声科
  • 收稿日期:2019-04-21 出版日期:2019-06-15
  • 通信作者: 肖六妹
  • 基金资助:
    河源市科技计划项目(180704120222418)

Application of ultrasound multi-probe scanning in the diagnosis of neonatal craniocerebral diseases

Ling Zeng1, Binyu Zhu1, Huiju Wu1, Qianchao Zhou1, Wenjie Deng1, Liumei Xiao1,()   

  1. 1. Department of Ultrasound, Maternal and Child Health Hospital, Heyuan 517000, Guangdong Province, China
  • Received:2019-04-21 Published:2019-06-15
  • Corresponding author: Liumei Xiao
  • About author:
    Corresponding author: Xiao Liumei, Email:
引用本文:

曾玲, 朱滨玉, 吴慧菊, 周乾潮, 邓文杰, 肖六妹. 超声多探头检查在新生儿颅脑疾病诊断中的应用[J/OL]. 中华脑科疾病与康复杂志(电子版), 2019, 09(03): 146-149.

Ling Zeng, Binyu Zhu, Huiju Wu, Qianchao Zhou, Wenjie Deng, Liumei Xiao. Application of ultrasound multi-probe scanning in the diagnosis of neonatal craniocerebral diseases[J/OL]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2019, 09(03): 146-149.

目的

研究超声低频探头和低频探头联合高频探头检查在新生儿颅脑疾病诊断中的准确率和敏感性。

方法

选取河源市妇幼保健院自2017年1月至2018年12月收治的有颅脑疾病高危因素(早产、低体质量、多胎妊娠、出生过程有缺氧窒息及产时感染)的新生儿90例作为研究对象。采用随机数字表法将所有新生儿平均分为2组,研究组(45例)给予低频探头联合高频探头进行探查,对照组(45例)仅给予低频探头进行探查。结合CT检查结果和临床治疗,比较2种检测方法的准确率和敏感性。

结果

研究组检测新生儿缺氧缺血性脑病、脑室内出血和室管膜下出血诊断准确率分别为87.5%、100%、100%,高于相应对照组(15.38%、12.5%、0%),差异有统计学意义(P<0.05);研究组和对照组检测脑实质内出血和脑积水的诊断准确率分别为87.5%、100%以及42.85%、66.67%,差异无统计学意义(P>0.05)。研究组检测新生儿颅脑疾病的效率为82.22%,高于对照组(22.22%),差异具有统计学意义(P<0.05)。

结论

使用超声低频探头联合高频探头的方法提高了缺氧缺血性脑病、脑室内出血、室管膜下出血等新生儿颅脑疾病诊断的准确率,在诊断新生儿脑实质内出血和脑积水的准确率没有差异,且对颅脑疾病诊断的敏感性较高,因此具有较为重要的临床意义。

Objective

To study the accuracy and sensitivity of ultrasound low frequency probe between low frequency probe combined with high frequency probe in the diagnosis of neonatal craniocerebral diseases.

Methods

Ninety newborns with high risk factors of craniocerebral diseases (premature delivery, low body weight, multiple pregnancies, hypoxic asphyxia and intrapartum infection) admitted to Heyuan Maternal and Child Health Hospital from January 2017 to December 2018 were selected as the study subjects. All newborns were divided into two groups by random number table method. The study group (45 cases) was given a low-frequency probe combined with a high-frequency probe for exploration, and the control group (45 cases) was only given a low-frequency probe for exploration. Combined with gold standard CT examination and clinical treatment, the accuracy and sensitivity of the two groups of detection methods were compared.

Results

The diagnostic accuracy of the study group for the detection of neonatal hypoxic ischemic encephalopathy, intraventricular hemorrhage and subependymal hemorrhage were 87.5%, 100%, 100%, respectively, higher than the corresponding control group (15.38%, 12.5%, 0%), the difference was statistically significant (P<0.05). The diagnostic accuracy of intracerebral parenchymal hemorrhage and hydrocephalus in the study group and the control group were 87.5%, 100%, and 42.85%, 66.67%, respectively, the difference was not statistically significant (P>0.05). The efficiency of the study group for detecting neonatal brain disease was 82.22%, which was higher than that of the control group (22.22%), and the difference was statistically significant (P<0.05).

Conclusion

Ultrasonic low frequency probe combined with high frequency probe could improve the accuracy of diagnosis of neonatal craniocerebral diseases such as hypoxic ischemic encephalopathy, intraventricular hemorrhage and subependymal hemorrhage, and diagnoses neonatal brain parenchymal hemorrhage and hydrocephalus. There is no difference in the accuracy rate, and it is sensitive to the diagnosis of craniocerebral diseases, so it has important clinical value.

表1 2组研究对象基本资料
表2 2组方法检测不同新生儿颅脑疾病准确率的比较[例(%)]
[1]
唐勇珍,李金英.多探头联合超声扫查在新生儿颅脑疾病诊断中的价值[J].中国优生与遗传杂志, 2015, 8(4): 92-93.
[2]
Blaxter L, Yeo M, McNally D, et al. Neonatal head and torso vibration exposure during inter-hospital transfer[J]. Proc Inst Mech Eng H, 2017, 231(2): 99-113.
[3]
Ghidini A, Stewart D, Pezzullo JC, et al. Neonatal complications in vacuum-assisted vaginal delivery: are they associated with number of pulls, cup detachments, and duration of vacuum application?[J]. Arch Gynecol Obstet, 2017, 295(1): 67-73.
[4]
常红梅.新生儿颅脑超声检查的临床意义[J].中外医疗, 2016, 35(28): 196-198.
[5]
于登锋,王敏智.床旁彩色多普勒超声在诊断新生儿颅脑疾病中的应用[J].中国CT和MRI杂志, 2017, 15(8): 21-22.
[6]
刘磊,夏焙,王娟,等.三维容积超声在诊断新生儿颅脑损伤的应用[J].生物医学工程与临床, 2016, 8(1): 30-33.
[7]
Ma Q, Dasgupta C, Li Y, et al. Inhibition of microRNA-210 provides neuroprotection in hypoxic-ischemic brain injury in neonatal rats[J]. Neurobiol Dis, 2016, 89: 202-212.
[8]
李娟娟,韩若凌,高洁宁.彩色多普勒颅脑超声对新生儿脑病的早期诊断价值[J].河北医科大学学报, 2018, 39(4): 444-449.
[9]
Cesani M, Cavalca E, Macco R, et al. Metallothioneins as dynamic markers for brain disease in lysosomal disorders[J]. Ann Neurol, 2014, 75(1): 127-137.
[10]
纪永佳,张举珍,黄列,等.颅脑超声在早产儿颅脑疾病诊断中的应用[J].宁夏医科大学学报, 2015, 37(9): 1095-1098.
[11]
李静波,周光艳,吕德勇.颅脑超声与常规MRI在高危新生儿脑损伤诊断中的应用价值[J].中国医疗设备, 2017, 32(2): 43-46.
[12]
Lintern TO, Nash MP, Kelly P, et al. Probabilistic description of infant head kinematics in abusive head trauma[J]. Comput Methods Biomech Biomed Engin, 2017, 20(16): 1633-1642.
[13]
Nachtergaele P, Van Calenbergh F, Lagae L. Craniocerebral birth injuries in term newborn infants: a retrospective series[J]. Childs Nerv Syst, 2017, 33(11): 1927-1935.
[14]
芦钺,郑义,胡媛,等.高低频超声与磁共振成像诊断新生儿颅脑疾病的对比研究[J].中国医学装备, 2017, 14(2): 50-53.
[15]
冯国隽,杨红梅,王朝霞,等.彩色多普勒超声对新生儿颅脑疾病的诊断价值[J].西部医学, 2016, 28(4): 556-559.
[1] 王亚红, 蔡胜, 葛志通, 杨筱, 李建初. 颅骨骨膜窦的超声表现一例[J/OL]. 中华医学超声杂志(电子版), 2024, 21(11): 1089-1091.
[2] 李晓妮, 卫青, 孟庆龙, 牛丽莉, 田月, 吴伟春, 朱振辉, 王浩. 超声心动图在孤立性左心室心尖发育不良疾病中的应用价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(10): 937-942.
[3] 陈慧, 姚静, 张宁, 刘磊, 马秀玲, 王小贤, 方爱娟, 管静静. 超声心动图在多发性骨髓瘤心脏淀粉样变中的诊断价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(10): 943-949.
[4] 戴飞, 赵博文, 潘美, 彭晓慧, 陈冉, 田园诗, 狄敏. 胎儿心脏超声定量多参数对主动脉缩窄胎儿心脏结构及功能的诊断价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(10): 950-958.
[5] 章建全, 程杰, 陈红琼, 闫磊. 采用ACR-TIRADS评估甲状腺消融区的调查研究[J/OL]. 中华医学超声杂志(电子版), 2024, 21(10): 966-971.
[6] 罗辉, 方晔. 品管圈在提高甲状腺结节细针穿刺检出率中的应用[J/OL]. 中华医学超声杂志(电子版), 2024, 21(10): 972-977.
[7] 杜祖升, 赵博文, 张帧, 潘美, 彭晓慧, 陈冉, 毛彦恺. 应用二维斑点追踪成像技术评估孕周及心尖方向对中晚孕期正常胎儿左心房应变的影响[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 843-851.
[8] 杨忠, 时敬业, 邓学东, 姜纬, 殷林亮, 潘琦, 梁泓, 马建芳, 王珍奇, 张俊, 董姗姗. 产前超声在胎儿22q11.2 微缺失综合征中的应用价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 852-858.
[9] 包艳娟, 杨小红, 张涛, 赵胜, 张莉. 阴道斜隔综合征的超声诊断与临床分析[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 859-864.
[10] 汪洪斌, 张红霞, 何文, 杜丽娟, 程令刚, 张雨康, 张萌. 低级别阑尾黏液性肿瘤与阑尾黏液腺癌超声及超声造影特征分析[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 865-871.
[11] 农云洁, 黄小桂, 黄裕兰, 农恒荣. 超声在多重肺部感染诊断中的临床应用价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 872-876.
[12] 刘思锐, 赵辰阳, 张睿, 张一休, 杨萌. 多普勒超声对孕鼠子宫动脉不同节段血流动力学参数的评估[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 877-883.
[13] 孙佳丽, 金琳, 沈崔琴, 陈晴晴, 林艳萍, 李朝军, 徐栋. 机器人辅助超声引导下经皮穿刺的体外实验研究[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 884-889.
[14] 宋勇, 李东炫, 王翔, 李锐. 基于数据挖掘法分析3 种超声造影剂不良反应信号[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 890-898.
[15] 常小伟, 蔡瑜, 赵志勇, 张伟. 高强度聚焦超声消融术联合肝动脉化疗栓塞术治疗原发性肝细胞癌的效果及安全性分析[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 56-59.
阅读次数
全文


摘要