二维超声及弹性成像在新生儿肺疾病中的诊断价值研究

发布时间：2018-06-05 08:10

本文选题：新生儿 + 肺部疾病　；参考：《昆明医科大学》2017年硕士论文

【摘要】：[目的]通过对比患肺部疾病的新生儿与正常新生儿的二维超声和超声弹性成像特征的弹性值,再将二维超声与胸片结果对比,弹性成像的弹性值与正常新生儿对比,探讨超声二维超声及弹性成像在新生儿肺部疾病诊断中的应用价值,并对比超声和胸片在对肺部疾病的诊断中的意义。[方法]收集41例2016-0.9-2017.02我院儿科住院被诊断为肺炎、湿肺、新生儿RDS、宫内窘迫、胎粪吸入综合征的新生儿进行1.二维超声,2.彩色多普勒超声,3.超声弹性成像分析。对比新生儿的病变肺组织与正常肺组织的弹性值来比较其异同,检验弹性成像在新生儿肺部病变中的应用价值。同时将同一患儿的胸片与超声结果与最终的临床诊断进行比对,对比超声与胸片在新生儿肺部疾病诊断中的一致性。[结果]1.二维超声能清晰的显示新生儿的肺部疾病,在对新生儿肺部疾病的诊断及新生儿的一般情况的判断上有很大辅助作用。2.运用超声弹性成像技术,分别测量患病新生儿病变肺组织与正常新生儿肺组织的弹性值,并进行比较,通过统计学检验有统计学意义,故说明,超声弹性成像在对新生儿肺部疾病有一定的诊断价值。3.结合临床诊断,将患儿的超声声像图结果与患儿胸片对比,比较胸片和超声与临床结果诊断对诊断的相关性。[结论]肺部超声弹性成像可以清晰的显示新生儿肺部病变,在新生儿肺部病变的诊断中有重要作用,超声弹性成像在新生儿肺部病变的应用能在一定程度上提高新生儿肺部疾病的检出率,从而提高诊断的准确性。
[Abstract]:[objective] to compare the elastic value of two-dimensional ultrasound and ultrasonic elastic imaging between newborns with pulmonary disease and normal newborns, and then compare the results of two-dimensional ultrasound and chest radiography, and compare the elastic value of elastic imaging with that of normal newborns. To explore the application value of two-dimensional ultrasound and elastic imaging in the diagnosis of neonatal pulmonary diseases, and to compare the significance of ultrasound and chest radiography in the diagnosis of pulmonary diseases. [methods] 41 cases of neonates diagnosed as pneumonia, wet lung, neonatal RDS, intrauterine distress and meconium aspiration syndrome in pediatrics were collected. 2-D ultrasound. Color Doppler ultrasound 3. Ultrasonic elastic imaging analysis. To compare the elastic values between the pathological lung tissue and the normal lung tissue of the newborn, and to test the application value of elastic imaging in the pulmonary lesions of the newborn. At the same time, the results of chest radiography and ultrasound were compared with the final clinical diagnosis, and the consistency of ultrasound and chest radiography in the diagnosis of neonatal pulmonary diseases was compared. [result] 1. Two-dimensional ultrasound can clearly display the pulmonary diseases of the newborn, which has a great auxiliary effect on the diagnosis of the neonatal pulmonary diseases and the judgment of the general situation of the newborn. The elastic value of lung tissue of diseased newborn was measured and compared with that of normal neonates by using the technique of ultrasonic elastic imaging. Ultrasound elastography has certain diagnostic value in neonatal pulmonary diseases. Combined with clinical diagnosis, the ultrasonographic results of children were compared with the chest radiographs of children, and the correlation between the diagnosis of ultrasound and the diagnosis of clinical results was compared. [conclusion] Pulmonary ultrasound elastography can clearly display the pulmonary lesions of newborn, and play an important role in the diagnosis of neonatal pulmonary lesions. The application of ultrasonic elastic imaging in neonatal pulmonary diseases can improve the detection rate of neonatal pulmonary diseases to a certain extent and improve the accuracy of diagnosis.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R445.1;R722.1

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