多模态磁共振成像在儿童脑性瘫痪治疗前后的影像特征及其与治疗效果的关系  

Imaging characteristics of multimodal magnetic resonance imaging before and after treatment in children with cerebral palsy and its relationship with treatment effect

作　　者：董双君 贾文霄 Dong Shuangjun;Jia Wenxiao(Department of Radiology,the First Afiliated Hospital of Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学第一附属医院影像中心,新疆维吾尔自治区乌鲁木齐市830011

出　　处：《现代养生》2023年第2期98-100,共3页Health Protection and Promotion

摘　　要：目的探讨多模态磁共振成像在儿童脑性瘫痪康复治疗前后的影像特征,及其影像特征的改变与患儿肢体功能康复效果的关系。方法分析2020年3月-2021年4月医院确诊的53例脑性瘫痪患儿的多模态磁共振成像检查结果,其中包括痉挛型26例,不随意运动型5例,肌张力低下型7例及混合型脑性瘫痪15例。康复治疗1年后,有41例脑性瘫痪患儿进行了MRI随访,对比分析病灶改善与否对患儿肢体功能康复效果的影响。结果患儿磁共振成像结果显示,53例脑性瘫痪患儿中,29例为脑室周围白质软化,14例为脑先天畸形,10例为脑萎缩。41例患儿康复治疗1年后,18例脑室周围白质软化患儿的脑白质髓鞘发育进程有明显改善,5例脑先天畸形患儿的影像征象有明显改善,4例脑萎缩患儿的影像征象有明显改善,14例患儿的影像表现显示其病灶形态无明显变化。脑部影像表现改善的患儿,肢体运动康复情况优于脑部影像无变化的患儿,差异有统计学意义(P<0.05)。结论多模态磁共振成像中多种成像方法的相互补充,可为脑性瘫痪患儿的临床诊断及康复治疗效果评估提供依据。Objective To explore the image characteristics of multimodal MRI before and after rehabilitation treatment for children with cerebral palsy,and the relationship between the changes of image characteristics and the rehabilitation effect of children’s limb function.Methods The results of multimodal MRI of 53 children with cerebral palsy diagnosed by the hospital from March 2020 to April 2021 were analyzed,including 26 cases of spastic type,5 cases of involuntary movement type,7 cases of hypotonia type and 15 cases of mixed type cerebral palsy.One year after the rehabilitation treatment,41 children with cerebral palsy were followed up with MRI,and the influence of the improvement of the focus on the rehabilitation of the children’s limb function was compared and analyzed.Results Magnetic resonance imaging showed that among 53 children with cerebral palsy,29 were periventricular leukomalacia,14 were congenital brain malformations,and 10 were brain atrophy.One year after rehabilitation treatment for 41 children,the myelin sheath development process of white matter in 18 children with periventricular leukomalacia was significantly improved,the imaging signs of 5 children with congenital brain malformations were significantly improved,the imaging signs of 4 children with brain atrophy were significantly improved,and the imaging manifestations of 14 children showed no significant changes in the focus morphology.The patients with improved brain image performance had better limb movement rehabilitation than those without changes in brain image(P<0.05).Conclusion The mutual complementation of various imaging methods in multimodal MRI can provide basis for clinical diagnosis and rehabilitation treatment effect evaluation of children with cerebral palsy.

关 键 词：脑性瘫痪 多模态磁共振成像 康复治疗 影像特征 

分 类 号：R445.2[医药卫生—影像医学与核医学]