目的：探讨多探头联合应用超声在诊断新生儿脑室周围-脑室内出血中的价值。方法：选取本院临床拟诊颅脑出血的新生儿100例，全部新生儿行颅脑超声检查，同时实施CT、MRI检查，比较三种检查方法对新生儿PIVH及其不同分级的阳性检出率、检查用时与检查费用的差异。结果：多探头联合应用超声检查发现脑室周围-脑室内出血65例，阳性检出率65.00%，其中Ⅰ级30例，Ⅱ级17例，Ⅲ级11例，Ⅳ级7例。多探头联合应用超声、MRI对新生儿PIVH的阳性检出率高于CT，比较差异均有统计学意义（P<0.05），多探头联合应用超声与MRI对新生儿PIVH的阳性检出率比较差异无统计学意义（P>0.05）。多探头联合应用超声、MRI对新生儿PIVHⅠ级的阳性检出率明显高于CT，比较差异均有统计学意义（P<0.05），多探头联合应用超声与MRI对不同新生儿PIVH分级的阳性检出率比较差异无统计学意义（P>0.05）。多探头联合应用超声的检查用时明显短于CT、MRI检查，检查费用明显低于CT、MRI检查，比较差异均有统计学意义（P<0.05）。结论：多探头联合应用超声在诊断新生儿脑室周围-脑室内出血中的应用价值显著，检查用时短，费用低廉，值得临床推广应用。%Objective:To study the application value of various ultrasonic probes combined using ultrasonography in the diagnosis of neonatal periventricular-intraventricular hemorrhages.Method:Choosing the hospital clinical examination of cerebral hemorrhage,100 cases of neonatal clinical examination of intracranial hemorrhage were selected from the hospital,all were given various ultrasonic probes combined using ultrasonography,CT,MRI examinations,positive detection rate of neonatal PIVH and its different classification,checking time and check cost were compared among the three examinations.Result:65 cases of neonatal periventricular-intraventricular hemorrhages were found by the various ultrasonic probes combined using ultrasonography,the positive detection rate was 65.00%,includingⅠ level of 30 cases,Ⅱ level of 17 cases,Ⅲ level of 11 cases,Ⅳ level of 7 cases.The positive detection rate of various ultrasonic probes combined use ultrasonography and MRI in neonatal PIVH was obviously higher than CT,comparative differences were statistically significant(P<0.05).The positive detection rate of neonatal PIVH had no statistically significant comparised difference between various ultrasonic probes combined using ultrasonography and MRI(P>0.05). The positive detection rate of PIVHⅠ level of various ultrasonic probes combined using ultrasonography and MRI in neonatal were obviously higher than CT,comparative differences were statistically significant(P<0.05). The positive detection rate of different neonatal PIVH classification had no statistically significant comparised difference between various ultrasonic probes combined using ultrasonography and MRI(P>0.05).The checking time of various ultrasonic probes combined using ultrasonography was obviously shorter than CT,MRI,the checking cost was significantly lower than CT,MRI,the comparative differences were statistically significant (P<0.05).Conclusion:The application value of various ultrasonic probes combined using ultrasonography in the diagnosis of neonatal periventricular-intraventricular hemorrhages is significant,it can shorten the checking time,inexpensive,it is worthy of clinical popularization and application.
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