儿童中枢性尿崩症的病因及影像学检查的必要性  

The etiology of central diabetes insipidus in children and the necessity of imaging study

作　　者：李玉华[1] 朱铭[1] 张永平[1] 薛建平[1] 朱锦勇[1] 顾学范[2] 沈永年[2] 叶军[2] 

机构地区：[1]上海第二医科大学附属新华医院放射科,上海200032 [2]上海儿科研究所,上海200032

出　　处：《中国临床医学影像杂志》2003年第5期316-318,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:分析儿童中枢性尿崩症的病因。材料与方法:复习180例儿童尿崩症的临床资料,对其中做过CT或MRI检查的105例中枢性尿崩症的临床及影像学进行回顾性分析研究。结果:原发性尿崩症59例,继发性尿崩症46例。结论:儿童中枢性尿崩症中继发性尿崩症占有相当高比例,一些开始诊断为原发性尿崩症者,若干年后可能出现鞍区肿瘤。鞍区影像学检查对儿童中枢尿崩症的病因分析起决定性作用,影像学随访也是非常必要的。Objective:To analyse the etiology of central diabetes insipidus in children.Materials and Methods:To re-view clinical materials of 180cases diabetes insipidus in children and analyse the imaging findings of 105cases of central dia-betes insipidus (CDI)which were studied by CT or MRI.Results:59cases were idiopathic CDI,46cases were secondary CDI.Conclusion:The incidence of secondary CDI is high in total CDI in children,because the diagnosis of secondary CDI were based on imaging studies,hence,it is very necessary to scan sella trucica region when the clinical diagnosis of CDI were established,the imaging studies are also importment for following-up.

关 键 词：尿崩症 体层摄影术 X线计算机 磁共振成像 

分 类 号：R584.3[医药卫生—内分泌] R445.2[医药卫生—内科学]