结节性硬化症所致癫痫性精神障碍患者的头颅CT与MRI对比研究  

Comparative Study of CT and MRI in Patients with Epileptic Mental Disorder Caused by Nodular Sclerosis

作　　者：牛迎春 NIU Yingchun(Department of Radiology,Kangning hospital,Liaoning Province,Huludao 115100,China)

机构地区：[1]辽宁省复员军人康宁医院放射科,辽宁葫芦岛115100

出　　处：《中国医药指南》2023年第7期63-66,共4页Guide of China Medicine

摘　　要：目的研究将头颅电子计算机断层扫描(CT)、磁共振成像(MRI)应用于结节性硬化症(TSC)所致癫痫性精神障碍患者中的作用与效果。方法2017年12月至2019年10月,于我院接收并对其进行检测的TSC所致癫痫性精神障碍患者共35例,对所有患者都借助头颅CT、MRI进行检测,比较应用的效果。结果在对所有患者进行MRI、头颅CT检测后,都显示出具有异常。MRI总诊断率显著高于头颅CT,P<0.05;MRI检出的病变总数显著高于头颅CT,P<0.05;MRI的简明精神症状评定量表(BPRS)评分显著高于CT(P<0.05)。结论TSC所致癫痫性精神障碍检测工作中应用头颅CT、MRI能够对患者进行明确诊断,而MRI检出的病变总数显著高于头颅CT,且其检测信息也更为全方位,能够对各类白质内非钙化病灶进行检测,给临床中给予更多的参照,可应用与推广。Objective To study the effects and functions of computed tomography(CT)and magnetic resonance imaging(MRI)in patients with epileptic mental disorder caused by tuberous sclerosis.Methods From December 2017 to October 2019,a total of 35 patients with epileptic mental disorder caused by TSC were admitted and examined in our hospital.All patients were examined by head CT and MRI,and the results were compared.Results All patients were found to be abnormal by MRI and head CT.The overall definite diagnostic rate of the MRI was significantly higher than that of the head CT,P<0.05.The total number of lesions detected by MRI was significantly higher than that by head CT,P<0.05.The higher score of concise Psychiatric Symptom Rating Scale(BPRS)in all patients was significantly higher than the lower score in the total number of lesions(P<0.05).Conclusion Epileptic mental disorders caused by TSC detection application of head can carry on the diagnosis to the patients with CT,MRI,and MRI is significantly higher than the total head CT detection of pathological changes,and the test information is more comprehensive,can carry on the detection of white matter in the calcified lesions,to give more reference in clinical application and promotion.

关 键 词：结节性硬化症 检查 头颅CT 效果 癫痫性精神障碍 MRI 

分 类 号：R744.51[医药卫生—神经病学与精神病学] R749.1[医药卫生—临床医学]