儿童脑萎缩性疾病CT与临床的相关研究  

Correlative study of CT and clinical signs on brain atrophic diseases of children.

作　　者：杨欣伟[1] 张国成[1] 黄莹[1] 沈青[1] 曹玉红[1] 李如英[1] 

机构地区：[1]第四军医大学西京医院儿科,陕西西安710032

出　　处：《中国儿童保健杂志》2006年第1期69-71,共3页Chinese Journal of Child Health Care

摘　　要：【目的】探讨小儿脑萎缩性疾病的头颅CT特点与病因、临床的关系。【方法】回顾分析187例小儿脑萎缩的临床资料。【结果】小儿脑萎缩的病因以围产期异常、中枢神经系统感染和脑外伤为主,分别占41.7%、24.1%、12.3%。瘫痪类型与脑萎缩的范围及程度相关,弥漫性脑萎缩和局限性脑萎缩所致瘫痪类型不同。癫痫发生率为70.6%,与脑萎缩范围有关。脑萎缩范围越大,癫痫发生率越高,弥漫性脑萎缩组癫痫发生率显著高于局限性脑萎缩组。【结论】CT检查安全迅速,颅内结构显示准确,是目前诊断脑萎缩最为可靠的方法之一,可为临床诊断及预后判断提供依据。[Objectives] To explore the relationship between CT scans of brain atrophy and their clinical characteristics. [Methods] 187 cases of brain atrophy were analyzed. [Results] The major etiologies of brain atrophy in children were perinatal abnormality, infection of central nervous system and brain trauma. They accounted for 41.7,24.1,12.3 percent of all the 187 cases separately. Types of paralysis were related to the range and degree of hrain atrophy, it was different between the diffuse atrophic and local group. The incidence of epilepsy was 70. 6 percent. It related to the range of brain atrophy. The larger range of brain atrophy, the higher incidence of epilepsy. The epileptic incidence of diffuse atrophy was higher than that of local and central atrophy dramatically. [Conclusion] In the diagnosis of intracranial diseases, CT can show the intracranial structure exactly, and its manipulation is rapid and safe. Being a useful tool for clinical diagnosis and prognostic judgrnent,CT is one of the most reliable technique in the diagnosis of brain atrophy at present.

关 键 词：脑萎缩 窒息 儿童 CT 

分 类 号：R722[医药卫生—儿科]