摘要
目的探究小儿脑瘫诊断情况,明确磁共振成像的可行性、有效性。方法选取开封市儿童医院影像科2020年2月至2022年10月期间接诊的脑瘫患儿(n=72)为研究对象,均采取MRI检查、颅脑CT检查,以脑电图检查为金标准,对比诊断价值,包括诊断准确性、漏诊率、影像学特征表现(脑室周围白质软化、脑萎缩、双侧额部硬膜下积液),另外统计检查费用、检查用时。结果MRI检查费用高于颅脑CT检查,检查用时长于颅脑CT(均P<0.05);MRI检查诊断准确性94.44%较CT检查77.78%高,漏诊率2.78%低于CT检查12.5%(P<0.05);组间脑室周围白质软化、脑萎缩的检出率比较,磁共振成像较CT检查高(P<0.05);组间双侧额部硬膜下积液的检出率比较,不同检查方式的差异无统计学意义(P>0.05)。结论磁共振成像可提高小儿脑瘫诊断准确性,降低漏诊率,还可检出脑室周围白质软化、脑萎缩,以指导制定合理的治疗方案。
Objective To explore the diagnosis of cerebral palsy in children and clarify the feasibility and effectiveness of magnetic resonance imaging.Methods A total of 72 children with cerebral palsy(n=72)who were admitted to the imaging department of Kaifeng children's Hospital from February 2020 to October 2022 were selected as the research objects.They were examined by MRI and brain CT.The diagnostic value,including diagnostic accuracy,missed diagnosis rate,imaging characteristics(periventricular leukomalacia,brain atrophy,bilateral frontal subdural effusion),and the inspection cost and time were compared with EEG s the gold standard.Results The cost of MRI was higher than that of brain CT,and the examination time was longer than that of brain CT(all P<0.05);the diagnostic accuracy of MRI was 94.44%higher than that of CT 77.78%,and the missed diagnosis rate was 2.78%lower than that of CT 12.5%(P<0.05);the detection rates of periventricular leukomalacia and brain atrophy were higher in MRI than in CT(P<0.05);there was no significant difference in the detection rate of bilateral frontal subdural effusion between the two groups(P>0.05).Conclusion Magnetic resonance imaging can improve the diagnostic accuracy of pediatric cerebral palsy,reduce the missed diagnosis rate,and also detect periventricular leukomalacia and cerebral atrophy to guide the development of reasonable treatment plans.
作者
陈巧菊
陈园园
赵南南
CHEN Qiao-ju;CHEN Yuan-yuan;ZHAO Nan-nan(Department of Imaging,Kaifeng Children's Hospital,Kaifeng 475000,Henan Province,China)
出处
《罕少疾病杂志》
2025年第7期36-38,共3页
Journal of Rare and Uncommon Diseases
关键词
小儿脑瘫
磁共振成像
诊断价值
Pediatric Cerebral Palsy
Magnetic Resonance Imaging
Diagnostic Value
