核磁共振成像在小儿脑性瘫痪临床分型中的应用  

Use of MRI in the differential diagnosis in children with cerebral palsy

作　　者：胡丁文 宋庆梅[2] 张晓[2] Hu Dingwen;Song Qingmei;Zhang Xiao(Department of Child Healthcare,Zecheng Hospital of Traditional Chinese Medicine,Zhecheng Henan 476200,China;Department of Pediatrics,the First People's Hospital of Nanyang,Nanyang Henan 473000,China)

机构地区：[1]柘城中医院儿童保健科,河南柘城476200 [2]南阳市第一人民医院儿科,河南南阳473000

出　　处：《保健医学研究与实践》2022年第8期79-82,共4页Health Medicine Research and Practice

摘　　要：目的 探讨核磁共振成像(MRI)在小儿脑性瘫痪临床分型中的应用价值。方法 选取2018年4月—2020年11月河南省某医院收治的104例脑性瘫痪患儿作为研究对象。参照《中国脑性瘫痪康复指南(2015)》将患儿进行分型,并行MRI检查。采用描述性分析法,分析脑性瘫痪患儿的MRI异常表现情况、不同分型脑性瘫痪患儿的MRI表现异常情况等。结果 104例脑性瘫痪患儿中MRI表现异常90例,占比86.54%。其中脑室周围软化21例,占比20.19%。痉挛型脑性瘫痪患儿中出现MRI异常表现患儿有67例(85.90%),以脑室周围软化、侧脑室扩大、脑萎缩为主;共济失调型脑性瘫痪患儿中出现MRI异常表现患儿有6例(85.71%),以脑室周围软化、小脑发育不良为主;不随意运动型脑性瘫痪患儿中出现MRI异常表现患儿有8例(88.89%),以基底节区病变、脑室周围软化为主;混合型脑性瘫痪患儿中出现MRI异常表现患儿有9例(90.00%),以脑萎缩、脑室周围软化为主。因早产导致的脑性瘫痪患儿中MRI异常表现有28例(93.33%),以脑室周围软化、侧脑室扩大为主;因缺氧窒息导致的脑性瘫痪患儿中MRI异常表现有36例(85.71%),以脑室周围软化、脑萎缩为主;其他病因导致的脑性瘫痪患儿中MRI异常表现有26例(81.25%),以髓鞘发育不良、脑裂畸形为主。结论 小儿脑性瘫痪的MRI异常表现率较高,可根据不同分型患儿的MRI异常表现进行鉴别脑性瘫痪分型。Objective To investigate the value of magnetic resonance imaging(MRI)in the differential diagnosis in children with cerebral palsy.Methods A total of 104 children with cerebral palsy admitted to a hospital in Henan Province from April 2018 to November 2020 were selected as the study subjects.The children were classified following the Chinese Guidelines for Rehabilitation of Cerebral Palsy(2015)and underwent MRI examination.Descriptive analysis was adopted to analyze the abnormal MRI findings in children with cerebral palsy and the abnormal MRI findings in children with different classifications of cerebral palsy.Results Among 104 children with cerebral palsy,90(86.54%)had abnormal MRI findings.Among them,21(20.19%)cases showed periventricular softening.Among the children with spastic cerebral palsy,67(85.90%)cases showed abnormal MRI findings,mainly featured with periventricular softening,lateral ventricular enlargement,and brain atrophy.Among the children with ataxic cerebral palsy,6(85.71%)cases showed abnormal MRI findings,mainly featured with periventricular softening and cerebellar dysplasia.Among the children with involuntary motor cerebral palsy,8(88.89%)cases showed abnormal MRI findings,mainly featured with basal ganglia lesions and periventricular softening.Among the children with mixed cerebral palsy,9(90.00%)cases showed abnormal MRI findings,mainly featured with brain atrophy and periventricular softening.Among the children with cerebral palsy due to premature delivery,28(93.33%)cases showed abnormal MRI findings,mainly featured with periventricular softening and lateral ventricle enlargement.Among the children with cerebral palsy due to hypoxic asphyxia,36(85.71%)cases showed abnormal MRI findings,mainly featured with periventricular softening and brain atrophy.Among the children with cerebral palsy due to other etiologies,26(81.25%)cases showed abnormal MRI findings,mainly featured with myelin dysplasia and schizencephaly.Conclusion The abnormal rate of MRI findings in children with cerebral palsy

关 键 词：小儿脑性瘫痪 核磁共振成像 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]