顱腦磁共振成像在新生兒室息后顱腦損傷診斷中的應(yīng)用價(jià)值

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Application value craniocerebral MRI in diagnosis craniocerebral injuryafter neonatal asphyxia . ， ， ，China

【Abstract】ObjectiveToanalyze the application value craniocerebral MRI in the diagnosis craniocerebral injuryafter neonatalasphyxia.MethodsAretrospectiveanalysiswasperformedon theclinical data 3O neonatesconfirmedwith craniocerebral injuryafterasphyxia bypathological examinationwhowereadmittdto thehospital fromMarch 2019 to March 2022.MRIand CT were performed inboth groups，andpathological examination was usedas thegold standard tocomparethe diagnosticrate various parts the twogroups.Results Compared with histopathological results，MRI diagnosis showed that there were 28cases with craniocerebral injury， its diagnostic accuracy rate，sensitivity，specificity，positive predictive value and negative predictive value were 93% ， 96% ， 86% 96% and 86% ，respectively. CT diagnosis showed that there were 22 cases with craniocerebral injury，its diagnostic accuracy rate，sensitivity，specificity，positive predictive value and negative predictive value were 73% ， 86% ， 78% ，90 % and 70% ，respectively. The diagnostic accuracy rate，sensitivity，specificity，positive predictive value andnegativepredictivevalue MRI inthediagnosis craniocerebral injurywereallhigher than those CT（ P< 0.05）.ConclusionCraniocerebral MRI has certain clinical application valuein the diagnosis craniocerebral injury after neonatal asphyxia.The areaand number craniocerebral injurycan be determinedby MRI examination， which can provide reference for treatment.

【Key words】 Neonatal asphyxia; Craniocerebral injury； Magnetic resonance imaging；Diagnosis

新生兒室息是指由于產(chǎn)前、分娩或產(chǎn)后各種病因，使胎兒缺氧而產(chǎn)生宮內(nèi)窘迫或在分娩過(guò)程中發(fā)生呼吸、循環(huán)障礙，表現(xiàn)為精神障礙、腦水腫、腦疝等癥狀[1]。（剩余4527字）