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[新生儿及婴儿中枢神经系统的超声诊断——病理形态学、适应证及价值]

[Sonographic diagnosis of the central nervous system in the neonate and infant--pathomorphology, indications and value].

作者信息

Dittrich M, Dinkel E, Peters H

出版信息

Ultraschall Med. 1983 Sep;4(3):174-81. doi: 10.1055/s-2007-1013062.

DOI:10.1055/s-2007-1013062
PMID:6648495
Abstract

Standardized cerebral sonography permits early diagnosis of intracranial abnormalities and follow-up of high-risk neonates and infants during the first year of life. In the last three years 782 neonates and infants were examined using a real-time sector scanners (3,5--7,5 MHz). Echogenicity of parenchymal structures as well as the ventricular system, the subarachnoid space and the choroid plexus were routinely investigated. Based on morphological criteria a stage classification of brain haemorrhage into five degrees of severity has been developed. The sonographic pattern of normal anatomy, various types of hydrocephalus, intracranial infectious pathology, brain tumor and meningomyelocele is described. Sonographic monitoring facilitates the decision on conservative or neurosurgical treatment of hydrocephalus.

摘要

标准化脑超声检查能够在生命的第一年对颅内异常进行早期诊断,并对高危新生儿和婴儿进行随访。在过去三年中,使用实时扇形扫描仪(3.5 - 7.5兆赫)对782例新生儿和婴儿进行了检查。常规研究了实质结构以及脑室系统、蛛网膜下腔和脉络丛的回声性。基于形态学标准,已制定了脑出血严重程度分为五个等级的分期分类。描述了正常解剖结构、各种类型脑积水、颅内感染性病变、脑肿瘤和脊髓脊膜膨出的超声图像特征。超声监测有助于决定对脑积水进行保守治疗还是神经外科治疗。

相似文献

1
[Sonographic diagnosis of the central nervous system in the neonate and infant--pathomorphology, indications and value].[新生儿及婴儿中枢神经系统的超声诊断——病理形态学、适应证及价值]
Ultraschall Med. 1983 Sep;4(3):174-81. doi: 10.1055/s-2007-1013062.
2
CT-scan or two-dimensional echoencephalography in neonatal intracranial pathology?新生儿颅内病变中使用计算机断层扫描(CT)或二维超声脑电图检查?
Zentralbl Neurochir. 1989;50(2):78-83.
3
[2-dimensional echoencephalography in childhood: method, indications and personal results].儿童二维超声脑图:方法、适应症及个人结果
Wien Klin Wochenschr. 1985 Jan 4;97(1):48-53.
4
[Transfontanelle cerebral echography].经囟门脑超声检查
Neurochirurgie. 1986;32(6):537-46.
5
Real-time ultrasonography: its use in diagnosis and management of neonatal hydrocephalus.
Am J Dis Child. 1982 Aug;136(8):693-6.
6
[Cross sectional echoencephalography in infants].[婴儿的横断面脑回波描记术]
Padiatr Padol. 1984;19(2):131-43.
7
[Results of cerebral sonography in children with myelomeningoceles].[脊髓脊膜膨出患儿的脑部超声检查结果]
Monatsschr Kinderheilkd. 1986 May;134(5):263-8.
8
Cranial real-time ultrasound in premature neonates.
Rofo. 1982 Jul;137(1):31-6. doi: 10.1055/s-2008-1056154.
9
[Prognostic value of cerebral angiography].[脑血管造影的预后价值]
Klin Padiatr. 1986 Sep-Oct;198(5):385-90. doi: 10.1055/s-2008-1033894.
10
Real-time sonography of the brain through the anterior fontanelle.经前囟门对脑进行实时超声检查。
AJR Am J Roentgenol. 1981 Feb;136(2):277-86. doi: 10.2214/ajr.136.2.277.