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新生儿缺氧缺血性脑病MRI分度诊断及相关性分析
引用本文:郭本树,吴耀贤,杨丹.新生儿缺氧缺血性脑病MRI分度诊断及相关性分析[J].罕少疾病杂志,2016(4):8-11.
作者姓名:郭本树  吴耀贤  杨丹
作者单位:河南省信阳市中心医院MR室 河南 信阳 464000
摘    要:目的:探讨MRI对新生儿HIE分度诊断价值。方法通过对比分析123例HIE患儿临床资料与颅脑MRI征象及其关系,并进行统计分析。结果123例新生儿HIE,临床分度与MRI分度诊断符合率分别为轻度89.47%,中度58.62%,重度55.3%,总符合率66.6%。临床分度诊断与MRI分度诊断有较好的一致性(P<0.01,Kappa值为0.509)。结论根据HIE患儿MRI征象分度诊断,可为临床治疗提供参考依据。

关 键 词:新生儿  缺氧缺血性脑病  磁共振影像诊断

MRI Index in the Diagnosis of Neonatal Hypoxic Ischemic Encephalopathy and Correlation Analysis
Abstract:Objective To investigate the diagnostic value of MRI in the graduation of neonatal HIE. Methods The clinical data and cerebral MRI manifestations in 123 case of neonate with HIE were made contrastive analysis and performed a statistical analysis. Results The grading diagnosis accordance rate between clinic and MRI in 123 neonate with HIE were as follow: mild 89.47%, moderate 58.62%, severe 55.3%, total 66.6%.The grading diagnosis between clinic and MRI had good consistency (P<0.01, the Kappa value was 0.01). Conclusion The grading diagnosis of the MRI manifestation of neonate with HIE can provide the reference for clinical treatment.
Keywords:Neonate  Hypoxic-ischemia Encephalopathy  Magnetic Resonance Imaging Diagnosis
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