精神分裂症患者脑部透明隔腔的CT表现及意义  

CT manifestations of septum pellucidum in schizophrenic patients and its clinical significance

作　　者：赵文云 何芳芳 谢强[1] ZHAO Wenyun;HE Fangfang;XIE Qiang(Luohe Central Hospital,Luohe 462000,China)

机构地区：[1]河南省漯河市中心医院

出　　处：《国际精神病学杂志》2019年第6期988-990,共3页Journal Of International Psychiatry

摘　　要：目的探讨精神分裂症患者脑部透明隔腔的CT表现,并且分析其临床意义。方法以2017年2月~2019年7月为时间段,选择我院收治的200例精神疾病患者,其中100例精神分裂症患者设为研究组1,余下100例其他精神病患者设为研究组2,另外,选择到我院参与体检的100例健康体检者设为对照组。三组对象均进行CT检查,观察分析脑部透明隔腔的检出情况。结果研究组1患者的脑部透明隔腔检出率为27%,研究组2患者的脑部透明隔腔检出率为10%,对照组的脑部透明隔腔检出率为1%;研究组1患者中有15例单纯性透明隔腔,11例单纯性威氏腔,1例透明隔腔并威氏腔;研究组2患者中有4例单纯性透明隔腔,5例单纯威氏腔,1例透明隔腔并威氏腔;对照组中有1例单纯性透明隔腔;有透明隔的精神分裂症患者中20~30岁年龄段的有13例(35.1%),31~40岁年龄段的有9例(21.9%),41-50岁年龄段的有5例(22.7%),男性有21例(36.8%),女性有6例(13.9%)。结论精神分裂症脑部透明隔腔的检出率明显高于正常对照和其它精神疾病患者,说明透明隔检出可能可以作为精神分裂症患者的生物学监测指标。Objective To investigate the CT manifestations of the septum pellucidum in schizophrenic patients and to analyze its clinical significance.Methods From February 2018 to July 2019,200 psychiatric patients in our hospital were selected,of which 100 were schizophrenic patients as study group 1,and the remaining 100 were other psychiatric patients as study group 2.In addition,100 healthy people who participated in physical examination in our hospital were selected as control group.All the three groups were examined by CT to observe and analyze the detection of the septum pellucidum and the clinical manifestations.Results The detection rate of septum pellucidum was 27%in study group 1,10%in study group 2 and 1%in control group;There were 15 cases of simple transparent septum,11 cases of simple Wilson's cavity,1 case of transparent septum and Wilson's cavity in the study group 1,4 cases of simple transparent septum,5 cases of simple Wilson's cavity,1 case of transparent septum and Wilson's cavity in the study group2,and 1 case of simple transparent septum in the control group;27 schizophrenic patients were found to have septum pellucidum.Among them,13(35.1%)were aged 20~30 years,9(21.9%)were aged 31~40 years,and 5(22.7%)were aged 41~50 years,21(36.8%)were male and 6(13.9%)were female.Conclusion The cerebral septum pellucidum detected in schizophrenia patients was more than that in control groups and the patients with other mental diseases.The cerebral septum pellucidum maybe a bio mark of patients with schizophrenia.

关 键 词：精神分裂症 脑部透明隔腔 CT 临床意义 

分 类 号：R749.3[医药卫生—神经病学与精神病学]