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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Sonographic Diagnosis of Brain Abnormalities in Infants: A Retrospective Study
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Sonographic Diagnosis of Brain Abnormalities in Infants: A Retrospective Study

机译:婴儿脑异常的超声诊断:一项回顾性研究

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Central Nervous System (CNS) anomalies are the second most frequent serious congenital anomalies, after congenital heart diseases. Cranial ultrasound presents a non-invasive as well as safe and cost-effective tool for proper diagnosis, follow-up and management of these patients.Aim: The present retrospective study aimed to investigate the prevalence and type of brain anomalies using cranial ultrasound as a diagnostic tool.Materials and Methods: Data of infants who underwent cranial ultrasound at the study center, between January 2010 and December 2017, were retrospectively studied. Indications for cranial ultrasound scanning were: prematurity, respiratory distress, neurological deficiency, suspected syndromes and other congenital anomalies.Results: Selective cranial ultrasound was performed in 4256 (5.8%) infants, and 371 (8.7%) of them were found to have brain abnormalities. Major abnormalities were found in 245 (66%) patients.Conclusion: Intracranial haemorrhages and their possible consequences (ventriculomegaly, hydrocephalus, periventricular leukomalacia) were the most common anomalies detected. Hence, prematurity and other perinatal risk factors still present a major issue in Kosovo. Also, prenatal diagnosis rate was very low. Familiarity with ultrasound features of brain anatomy, in particular during prenatal period, contributes to an early diagnosis and proper management of major and rarer congenital brain anomalies.
机译:中枢神经系统(CNS)异常是继先天性心脏病之后第二大最常见的严重先天性异常。颅骨超声检查为这些患者的正确诊断,随访和管理提供了一种无创且安全且具有成本效益的工具。目标:本回顾性研究旨在研究颅脑超声的患病率和类型超声作为诊断工具。材料与方法:回顾性研究2010年1月至2017年12月在研究中心接受颅骨超声检查的婴儿的数据。颅骨超声检查的适应症为:早产,呼吸窘迫,神经系统缺陷,可疑综合症和其他先天性异常。结果:对4256(5.8%)例婴儿进行了选择性颅骨超声检查,其中371例(8.7%)被发现有脑部异常在245名患者中发现了重大异常(66%)。结论:颅内出血及其可能的后果(脑室肥大,脑积水,脑室白细胞软化)是最常见的异常。因此,早产和其他围产期危险因素仍然是科索沃的主要问题。另外,产前诊断率很低。熟悉大脑解剖结构的超声特征(尤其是在产前时期)有助于早期诊断和适当处理主要和罕见的先天性大脑异常。

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