颅脑三维超声评价新生儿定量分析颅内出血量的临床价值

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Abstract Objective: To study the feasibility and accuracy of brain three-dimensional ultrasonography in quantitative analysis of intracranial hemorrhage in neonates and its influence on prognosis. Methods: One hundred and eighty-seven neonates born in our hospital suspected of symptomatic intracranial hemorrhage from January 2015 to February 2017 were selected retrospectively. All of the neonates were screened by intracranial ultrasonography and confirmed of intracranial hemorrhage of different levels by brain CT examination. Quantitative analysis of neonatal intracranial hemorrhage was compared between the two examinations. Result: According to the result of CT and Papile grading standards, there were 51 cases of grade Ⅰ, 53 cases of grade Ⅱ, 62 cases of grade Ⅲ and 21 cases of grade Ⅳ. According to the result of three-dimensional ultrasonography, there were 54 cases of grade Ⅰ, 49 cases of grade Ⅱ, 65 cases of grade Ⅲ and 19 cases of grade Ⅳ. There was no significant difference between the results of CT and three-dimensional ultrasonography. The diagnosis accuracy of subependymal hemorrhage, intraventricular hemorrhage, subdural hemorrhage, subarachnoid hemorrhage and intraparenchymal hemorrhage were 47.33%, 31.24%, 94.62%, 91.73% and 91.35% by CT, and 98.74%, 96.37%, 91.51%, 90.41%, 97.64 by three-dimensional ultrasonography, with significant difference(P<0.05). Conclusion: Three-dimensional brain ultrasonography has a high feasibility and accuracy in quantitative analysis of intracranial hemorrhage in neonates, and it has a great significance for the prognosis.

Key words： Intracranial hemorrhages Infant, newborn Ultrasonography, Doppler, transcranial Tomography, X-ray computed

Received: 25 May 2017

PACS:	Ｒ743.34
	Ｒ814.42
	Ｒ445.1

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	DUAN Miao
	HE Qing
	SU Li-jun

Cite this article:

DUAN Miao,HE Qing,SU Li-jun. Clinical value of quantitative evaluation of intracranial hemorrhage in neonates by three-dimensional ultrasonography[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(6): 387-390.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2018/V29/I6/387

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