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新生儿缺氧缺血性脑病的MRI分型与临床病理相关性分析
引用本文:黄显龙,李必强,杨华,陈修燕,杨健. 新生儿缺氧缺血性脑病的MRI分型与临床病理相关性分析[J]. 现代医药卫生, 2009, 25(6): 802-804
作者姓名:黄显龙  李必强  杨华  陈修燕  杨健
作者单位:黄显龙 (重庆市第三人民医院放射科,重庆,400014); 李必强 (重庆市第三人民医院放射科,重庆,400014); 杨华 (重庆市第三人民医院放射科,重庆,400014); 陈修燕 (重庆市第三人民医院放射科,重庆,400014); 杨健 (重庆市第三人民医院放射科,重庆,400014);
摘    要:
目的:探讨新生儿缺氧缺血性脑病(HIE)的MRI分型与临床病理的相关性。方法:回顾性分析234例新生儿HIE的MRI表现及临床表现。按足月儿与早产儿分为两组,总结MRI特征及临床病理特征。结果:新生儿HIE的MRI表现基本分为3个类型:旁矢状区型、底节-丘脑型、脑室旁型。足月儿多为底节-丘脑型、旁矢状区型,早产儿多为脑室旁型。各型有其对应的临床病理特征。结论:新生儿HIE的MRI表现分型与临床病理有密切的内在联系。MRI是诊断HIE的最好检查方法。

关 键 词:新生儿  缺氧缺血性脑病  MRI  分型  临床病理

MRI features and types of neonatal hypoxic ischemic encephalopathy and their correlation with clinical pathology
Affiliation:HUANG Xian-long,LI Bi-qiang, YA NG Hua,et al. (Department of Radiology,Third People's Hospital of Chongqing, Chongqing 400014,China)
Abstract:
Objective :To investigate the MRI features and types of neonatal hypoxie-ischemie encephalopathy(HIE) and their correlation with clinical pathology, nethods:MRI features and clinical manifestation of neonatal HIE in 234 cases were analyzed retrospectively. All cases were divided into two groups, term infants and premature infants. Their MRI findings and clinicopathologic features were analyzed and summarized. Results:The MRI manifestation of neonatal HIE showed three basic types: lateroanteroposterior axes zone type,basal nuclei thalamencephal type,lateral cerebral ventricle type. The MRI features of basal nucleithalamencephal type and lateroanteroposterior axes zone type mainly showed in term infant cases and lateral cerebral ventricle type mainly showed in premature infant eases.All the types had their own clinieopathologic characters. Conclusion: MRI features and types of neonatal HIE have closely inherent correlation with clinical pathology. MRI is the best examination to diagnose neonatal HIE.
Keywords:Newborn  Hypoxic ischemic encephalopathy  MRI  Typing  Clinical pathology
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