摘要
目的 研究儿童脑性瘫痪的CT影像学改变。方法 对 4 51例脑性瘫痪患儿进行头部CT扫描 ,男性 30 1例 ,女性 1 50例。年龄 1～ 1 6岁 ,并对其结果进行分析。结果 4 51例中 ,CT异常 334例 ,占 74 .0 % ,CT表现为 8种类型。 1 .脑萎缩 2 1 0例 ,占 62 .8% ;2 .皮质及皮质下脑软化灶 61例 ,占 1 8.2 % ;3.基底节改变 1 2例 ,占 3.6% ;4 .脑发育畸形 6例 ,占 1 .8% ;5.脑积水 2 7例 ,占 8% ;6.脑出血 1 4例 ,占 4 .2 % ;7.蛛网膜下腔出血 4例 ,占 1 .2 % ;正常 1 1 7例。结论 脑萎缩是脑瘫最常见的CT表现。CT分类反映了脑瘫脑部损害的病理改变。CT扫描对脑瘫诊断判断预后有一定价值 ,而临床分型统计结果以痉挛型脑瘫CT异常率最高。
To starch for the CT imaging changes in children with cerebral palsy. Methods Cranial CT Scan weve made in 451 pediatric patient with cerebral palsy.Including 301 of male.150 of famale and ranging from 1~16 year old.And results were analysed. Results In 451 cases, 334 cases (74.0%) have abnormal CT finding. We have classified the imaging changes in eighe groups.(1) Cerebral atrophy 210 cases(62.8%),(2) Cortical or subcortical leukomalacia 61 cases (18.2%),(3) Basal ganglion lesion 12 cases (3.6%),(4) Cerebral maldevelopment 6 cases (1.8%),(5) Water on the brain: 27 cases (8.6%) ,(6) Cerebral hemorrhage 14 cases (4.2%), (7) SAH 4 cases (1.2%),(8) Normal 117 cases (25.9%). Conclusion Cerebral atrophy is the commonest CT finding. CT classification reflected the pathological changes of the cerebral palsy. CT scan has a certain value in early diagnosis and prognosis estimation.
出处
《中国疗养医学》
2000年第6期68-69,共2页
Chinese Journal of Convalescent Medicine
关键词
脑瘫
CT
儿童
诊断
Cerebral palsy CT Childre8
