中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
CHINESE JOURNAL OF CT AND MRI
2015年
1期
32-35
,共4页
新生儿缺血缺氧性脑病%体层摄影%X线计算机%磁共振成像%对比研究
新生兒缺血缺氧性腦病%體層攝影%X線計算機%磁共振成像%對比研究
신생인결혈결양성뇌병%체층섭영%X선계산궤%자공진성상%대비연구
Neonatal Hypoxic-ischemic Encephalopathy%Tomography%X-ray Computed%Magnetic Resonance Imaging%Comparative Study
目的：分析比较CT及MRI诊断新生儿缺血缺氧性脑病(HIE)的价值。方法依据临床通用分度和影像学各自分度标准，回顾性分析60例HIE临床及CT、MRI资料，临床和影像分度符合率采用卡方检验，以P<0.05水准为统计学差异具有显著性。结果60例均做了CT检查，其中25例同时行MRI检查。临床分度：轻度29例(48.3%)，中度21例(35%)，重度10例(16.7%)；CT分度：正常7(11.7%)例，轻度24例(40%)，中度20例(33.3%)，重度9例(15%)，显示颅内出血21例(35%)。HIE检出率88.3%。以临床分度为标准，CT诊断吻合率为82.4%，X2=10， P=0.019<0.05。MRI检查共25例：轻度12例(48%)，中度9例(36%)，重度4例(16%)，显示颅内出血6例(24%)。HIE检出率100%，与临床分度吻合率达93.5%。复查CT对轻中度HIE显示率分别为6.5%、45%，MRI分别为25.3%、58.3%。结论 CT和MRI检查对HIE的早期诊断、分型及预后评估有重要价值，MRI优于CT；但蛛网膜下腔出血检出CT优于MRI。
目的：分析比較CT及MRI診斷新生兒缺血缺氧性腦病(HIE)的價值。方法依據臨床通用分度和影像學各自分度標準，迴顧性分析60例HIE臨床及CT、MRI資料，臨床和影像分度符閤率採用卡方檢驗，以P<0.05水準為統計學差異具有顯著性。結果60例均做瞭CT檢查，其中25例同時行MRI檢查。臨床分度：輕度29例(48.3%)，中度21例(35%)，重度10例(16.7%)；CT分度：正常7(11.7%)例，輕度24例(40%)，中度20例(33.3%)，重度9例(15%)，顯示顱內齣血21例(35%)。HIE檢齣率88.3%。以臨床分度為標準，CT診斷吻閤率為82.4%，X2=10， P=0.019<0.05。MRI檢查共25例：輕度12例(48%)，中度9例(36%)，重度4例(16%)，顯示顱內齣血6例(24%)。HIE檢齣率100%，與臨床分度吻閤率達93.5%。複查CT對輕中度HIE顯示率分彆為6.5%、45%，MRI分彆為25.3%、58.3%。結論 CT和MRI檢查對HIE的早期診斷、分型及預後評估有重要價值，MRI優于CT；但蛛網膜下腔齣血檢齣CT優于MRI。
목적：분석비교CT급MRI진단신생인결혈결양성뇌병(HIE)적개치。방법의거림상통용분도화영상학각자분도표준，회고성분석60례HIE림상급CT、MRI자료，림상화영상분도부합솔채용잡방검험，이P<0.05수준위통계학차이구유현저성。결과60례균주료CT검사，기중25례동시행MRI검사。림상분도：경도29례(48.3%)，중도21례(35%)，중도10례(16.7%)；CT분도：정상7(11.7%)례，경도24례(40%)，중도20례(33.3%)，중도9례(15%)，현시로내출혈21례(35%)。HIE검출솔88.3%。이림상분도위표준，CT진단문합솔위82.4%，X2=10， P=0.019<0.05。MRI검사공25례：경도12례(48%)，중도9례(36%)，중도4례(16%)，현시로내출혈6례(24%)。HIE검출솔100%，여림상분도문합솔체93.5%。복사CT대경중도HIE현시솔분별위6.5%、45%，MRI분별위25.3%、58.3%。결론 CT화MRI검사대HIE적조기진단、분형급예후평고유중요개치，MRI우우CT；단주망막하강출혈검출CT우우MRI。
Objective To compare the value of CT and MRI diagnosis of neonatal hypoxic-ischemic encephalopathy (HIE). Methods Based on clinical and radiographic universal indexing standards, a retrospective analysis of 60 cases of HIE clinical and CT, MRI data was analyzed, The clinical and imaging division compliance rate using the chi-square test, with P<0.05 level for statistical learn the difference was significant. Results 60 cases were all underwent CT, while 25 patients underwent MRI. Clinical grading:29 mild cases (48.3%) , 21 moderate cases (35%), 10 severe cases (16.7%); CT indexing:normal in 7 cases (11.7%), mild in 24 cases (40%), moderate in 20 cases (33.3%), and severe in 9 cases (15%), 21 cases of intracranial hemorrhage (35%). HIE detection rate of 88.3%. According to clinical grading standard, CT diagnostic agreement was 82.4%, X2=10, P=0.019 <0.05. MRI examination of 25 cases: mild in 12 cases (48%), moderate in 9 cases (36%), severe in 4 cases (16%), intracranial hemorrhage in 6 cases (24%). HIE detection rate of 100%, consistent with the clinical grading by 93.5%. CT scan of mild to moderate HIE display rates were 6.5%, 45%, MRI were 25.3%, 58.3%. Conclusion CT and MRI have significant value in the early diagnosis, classification and prognosis of HIE, MRI is superior to CT; But CT detection of subarachnoid hemorrhage is superior than MRI.
