早产儿脑病的MR影像学表现及危险因素分析

发布时间：2018-05-03 16:29

本文选题：早产儿脑病 + 磁共振影像学　；参考：《深圳中西医结合杂志》2015年21期

【摘要】：目的:研究早产儿脑病的磁共振(MR)影像学表现及危险因素。方法:选取2014年2月-2015年2月在本院分娩的早产儿脑病患儿36例作为观察组,另选取同期早产无脑病患儿36例作为对照组,研究早产儿脑病患儿的MR影像学表现及危险因素。结果:经头颅MR检查,对照组36例早产儿结果正常,观察组36例患儿中,单纯的早产儿脑病患儿占91.7%,其他类型的脑损伤患儿占8.33%。早产儿脑病发病以非囊性为主占77.8%,囊性病例占13.9%,脑室周围白质存在损伤患儿占41.7%,脑叶白质发生病变患儿占58.3%。导致患儿发病的危险因素为阴道助产、用氧时间、多胎之大、体重、真菌败血症,与早产正常儿比较,差异具有统计学意义(P0.05)。结论:对早产儿脑病患儿实施MR影像学检查,能够明确病因,找出危险因素,便于患儿能够及时得到诊断和治疗
[Abstract]:Objective: to study the MRI findings and risk factors of preterm infant encephalopathy. Methods: from February 2014 to February 2015, 36 preterm infants with encephalopathy were selected as observation group and 36 children without encephalopathy as control group. The MRI findings and risk factors of preterm infants with encephalopathy were studied. Results: according to the cranial Mr examination, the results of 36 premature infants in the control group were normal. In the observation group, 91.7 cases were simple encephalopathy of premature infants and 8.33% were children with other types of brain injury. The incidence of encephalopathy in preterm infants was mainly non-cystic (77.8%), cystic cases (13.9%), periventricular white matter injury (41.7%) and lobar white matter (58.3%). The risk factors were vaginal delivery, oxygen use time, the size of multiple births, body weight, fungal septicemia, compared with preterm normal infants, the difference was statistically significant (P 0.05). Conclusion: Mr imaging examination of preterm infants with encephalopathy can identify the etiology, find out the risk factors, and facilitate the timely diagnosis and treatment of premature infants with encephalopathy.
【作者单位】：昆明市儿童医院;
【分类号】：R742

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