摘要
目的探讨巨脑回畸形与脑室周围白质软化症(PVL)导致的脑瘫临床表现、预后等方面的区别与联系。方法回顾性研究巨脑回所致脑瘫15例和PVL所致脑瘫35例,比较种不同原因所致脑瘫在确诊年龄、分型、并发症、粗大运动功能分级(GMFCS)等方面的不同。结果巨脑回畸形组所致脑瘫患儿确诊年龄要显著早于PVL组(P<0.001),GMFCS分级低于PVL组(P<0.05),癫痫发生率高于PVL组(P<0.05),智力显著低于PVL组(P<0.001)。结论巨脑回畸形所致脑瘫整体发育比PVL发育要差,其预后也相对较差。
Objective To compare the features of cerebral palsy with pachygyria or periventricular leukomalacia （PVL）. Methods 15 children with pachygyria and 35 children with PVL were included. Their diagnosed age, clinical subtype, complications, Gross Motor Func-tion Classification System （GMFCS） were compared. Results The diagnosed age was significantly younger （P〈0.001）, the GMFCS was lower （P〈0.05）, the incidence rate of epilepsy was higher （P〈0.05）, and the intelligence was significantly lower （P〈0.001） in the pachygyria group than in the PVL group. Conclusion Cerebral palsy children with pachygyria develope worse than that with PVL, as well as their prog-nosis.
出处
《中国康复理论与实践》
CSCD
北大核心
2014年第4期389-391,共3页
Chinese Journal of Rehabilitation Theory and Practice
