MRI对脑瘫患儿的诊断价值及意义

发布时间：2018-10-13 11:05

【摘要】：目的探讨MRI在小儿脑瘫诊断中的价值及意义。方法回顾性分析2013年5月至2015年1月于我院治疗并确诊的CP患儿25例,对其MRI影像学分类及临床分型进行总结分析;结果全部25例CP患儿经MRI检查结果正常为6例、异常为19例,总阳性率为76%。依据影像学分类将脑瘫分为,脑白质病变12例(48%)、胼胝体病变5例(20%)、软化灶3例(12%)、脑萎缩2例(8%);脑白纸病变CP患儿中6例为四肢瘫、1例为双瘫、2例为偏瘫、1例为肌张力低下型、2例为混合型;胼胝体病变5例中,3例为四肢瘫、2例为即张力低下型;基底节软化灶3例中,1例为四肢瘫、2例为偏瘫;脑萎缩2例均表现为四肢瘫。痉挛型四肢瘫、双瘫、偏瘫阳性率分别为80%、100%、80%,肌张力减低型阳性检出率为75%,混合型阳性检出率为66.6%;结论 MRI检查可以作为检查脑内病变部位和性质的的首选方法,可以确切提示脑部病变的性质、部位和范围,对小儿CP的病因分析、指导用药和判断预后均具有重要价值,适宜临床推广使用。
[Abstract]:Objective to explore the value and significance of MRI in the diagnosis of cerebral palsy in children. Methods from May 2013 to January 2015, 25 cases of CP were analyzed retrospectively, and their MRI imaging classification and clinical classification were summarized and analyzed. Results the results of MRI examination in all 25 cases of CP were normal in 6 cases. 19 cases were abnormal, the total positive rate was 76%. According to the imaging classification of cerebral palsy, There were 12 cases of white matter lesions (48%), 5 cases of corpus callosum (20%), 3 cases of malacia (12%), 2 cases of cerebral atrophy (8%), 6 cases of cerebral white paper lesions were quadriplegia, 1 case of diplegia, 2 cases of hemiplegia, 1 case of hypotonia and 2 cases of mixed type. Of the 5 cases of corpus callosum lesion, 3 cases were quadriplegia, 2 cases were hypotonia, 1 case was quadriplegia, 2 cases were hemiplegia, 2 cases were cerebral atrophy. The positive rates of spastic quadriplegia, diplegia and hemiplegia were 80%, 75 and 66. 6 respectively. Conclusion MRI can be used as the first choice for detecting the location and nature of brain lesions. It can definitely indicate the nature, location and range of brain lesions, and has important value in etiological analysis, medication guidance and prognosis of CP in children. It is suitable for clinical application.
【作者单位】：安徽省六安市第二人民医院磁共振室;安徽省六安市第二人民医院康复医学科;
【分类号】：R742.3;R445.2

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