摘要
目的 :探讨MRI在儿童脑瘫康复中的应用价值。材料与方法 :对 88例脑瘫患儿的临床和MRI资料进行回顾性分析 ,其中痉挛型脑瘫 5 1例 ,肌张力低下型脑瘫 7例 ,强直型脑瘫 4例 ,共济失调型脑瘫 7例 ,手足徐动型脑瘫 4例 ,混合型脑瘫 15例 ;在脑瘫治疗过程中 2 7例病人进行了MRI随访。结果 :MRI显示脑软化灶 14例 ,大脑脑萎缩改变 36例 ,小脑萎缩 6例 ,脑室周围白质软化症 17例 ,脑先天畸形 11例。有 15例患儿伴有大脑白质的髓鞘发育延迟。MRI显示脑瘫病灶的敏感性为95 %。经过综合性康复治疗 ,患儿脑内的髓鞘发育延迟和脑萎缩病灶的改善及病人的肢体功能的康复程度之间存在显著性关联(x2 =6 31,P <0 0 5 )。结论
Purpose:To explore the value of MRI in rehabilitative treatment of cerebral palsy(CP) in children.Materials and Methods:The MRI data was studied retrospectively in 88 child patients with cerebral palsy.The types of cerebra palsy were spastic CP (n=60),rigid CP(n=4),athetosis CP (n=4),ataxia CP (n=5) and mixed CP(n=15).Results:In the groups the sensibitity of MRI was 98%(84/88);there are focal cerebral malacia(n=4),cerebral atrophy(n=36)and cerebrellar atrophy (n=6),preventricular leukomalacia (n=17) and cerebral congenital malformation (n=11).Delayed myelinization in cerebral white matter was detected in 15 cases.In treated cases(n=27),there are significant relationship between the improvement of the delayed myelinization in cerebral white matter and the cerebral atrophy in appearance in MRI and that of clinical feature of the patients with cerebral palsy.Conclusion:MRI play a important role in rehabilitative treatment of cerebral palsy in children.
出处
《现代医用影像学》
2001年第4期147-150,共4页
Modern Medical Imageology
基金
广东省医药卫生科研基金资助课题
关键词
儿童
脑性瘫痪
磁共振成像
康复治疗
Cerebral palsy in children Magnetic resonance imaging Rehabilitation
