头颅CT测量脑透明隔腔在精神分裂症患者中的应用  

The application of brain CT measurement of brain septum pellucidum in patients with schizophrenia

作　　者：杨阳 李磊 张婷婷 任甜甜 YANG Yang;LI Lei;ZHANG Tingting(CT Room of Fuyang Third People's Hospital,Fuyang 236000,China)

机构地区：[1]阜阳市第三人民医院CT室,阜阳236000

出　　处：《国际精神病学杂志》2024年第2期402-404,413,共4页Journal Of International Psychiatry

摘　　要：目的通过CT检查精神分裂症患者的脑部透明隔腔,为临床诊断疾病和探讨疾病病理提供参考依据。方法选择2020年1月~2022年12月阜阳市第三人民医院收治的126例精神分裂症患者为观察组,同期100例健康体检者为对照组。两组均接受脑透明隔腔CT检查,统计观察组不同年龄段患者的脑透明隔腔检出比例,并观察两组一般资料、脑透明隔腔检出比例与脑透明隔腔体积、长度及宽度等指标差异;通过Logistic回归分析探讨脑透明隔腔和精神分裂症发生的关系。结果观察组共检出脑部结构异常64例,其中包含单纯性脑室扩大15例(23.44%)、脑皮层萎缩32例(50.00%)、弥漫性脑萎缩17例(26.56%)。三者发生的高峰年龄段是>20~30岁、>30~40岁、>50岁。观察组脑透明隔腔检出比例与透明隔腔宽度、长度以及体积高于对照组(P<0.05)。Logistic回归分析发现,检出脑透明隔腔与透明隔腔宽度、长度以及体积均是精神分裂症发生的相关影响因素,OR值均>1。结论精神分裂症患者在CT检查中的脑透明隔腔检出率较高,能作为疾病诊断的特异影像学征象,也是精神分裂症发生的相关影响因素。Objective Through CT examination of the transparent septum of the brain in patients with schizophrenia provides a reference basis for clinical diagnosis and exploration of disease etiology.Methods A total of 126 patients with schizophrenia admitted to the Third People's Hospital of Fuyang City from January 2020 to December 2022 were selected as the observation group,and 100 healthy subjects in the same period were selected as the control group.Both groups received CT examination of the brain transparent septum.The detection rate of the brain transparent septum in patients of different ages in the observation group was compared,and the difference between the general data,detection rate of the brain transparent septum and the volume,length and width of the brain transparent septum was observed.Logistic regression analysis was used to explore the relationship between cerebral septum pellucidum and schizophrenia.Results A total of 64 cases of brain structural abnormalities were detected in the observation group,including 15 cases of simple ventricular enlargement(23.44%),32 cases of cortical atrophy(50.00%),and 17 cases of diffuse brain atrophy(26.56%).The peak age of the three is>20-30 years old,>30-40 years old,>50 years old.The detection rate of cerebral septum pellucidum cavity and the width,length and volume of septum pellucidum cavity in the observation group were higher than those in the control group(P<0.05).Logistic regression analysis showed that the width,length and volume of cerebral septum pellucidum and septum pellucidum were the influencing factors of schizophrenia,and the OR values were all>1.Conclusion Schizophrenic patients have a high detection rate of the brain transparent septum in CT examination,which can serve as a specific imaging sign for diagnosis of diseases and is also an correlation factor for the occurrence of schizophrenia.

关 键 词：脑部透明隔腔 CT检查 精神分裂症 

分 类 号：R749.3[医药卫生—神经病学与精神病学]