MRI对脑瘫患儿的诊断意义与MRI影像学特点初步研究.docVIP

精品论文 参考文献 MRI对脑瘫患儿的诊断意义与MRI影像学特点初步研究 湖南省郴州市第一人民医院中心医院 423000 【摘 要】目的：分析和研究MRI对脑瘫患儿的诊断意义与MRI影像学特点。方法：选取2014年3月—2016年3月脑瘫患儿82例，对其均行MRI检查，将82例患儿脑瘫类型及MRI检查结果进行回顾性分析。结果：82例脑瘫患儿中：痉挛型、手足徐动型、共济失调型、肌张力减低型、混合型发生率分别为：72.0%、8.5%、2.4%、6.1%、11.0%。82例患儿中：MRI检查结果异常67例，检出率为81.7%；MRI检查结果正常15例，未检出率为18.3%。82例患儿MRI检查结果：痉挛型脑瘫检出率为84.7%；手足徐动型脑瘫检出率为71.4%；共济失调型脑瘫检出率为50.0%；肌张力减低型脑瘫检出率为80.0%；混合型脑瘫检出率77.8%。结论：将MRI应用于脑瘫患儿检查中，其能够明确提示出患儿脑部病变位置、性质与范围，有利于指导临床用药及预测患儿预后，值得临床推广与应用。 【关键词】MRI检查；脑瘫；临床诊断；影像学特点；诊断价值 abstract：objective：to analyze MRI in the diagnosis of children with cerebral palsy and research meaning and MRI imaging characteristics.Methods：selecting in March 2014 - March 2016，82 cases of children with cerebral palsy，for its line of MRI，the types and MRI findings of 82 cases of children with cerebral palsy were retrospectively analyzed.Results：of 82 cases of children with cerebral palsy：spasm，brothers xu，ataxia，reducing muscle tension，mixed rate is respectively：72.0%，8.5%，2.4%，6.1%，2.4%.：in 82 cases of children with abnormal MRI findings of 67 cases，the detection rate is 81.7%；MRI findings of 15 cases of normal，the detection rate of 18.3%.Results：82 cases of children with MRI spasm cerebral palsy detection rate is 84.7%；The brotherhood of xu moving type cerebral palsy detection rate is 71.4%；Ataxia type cerebral palsy detection rate is 50.0%；Muscle tension reducing type cerebral palsy detection rate is 80.0%；Mixed cerebral palsy detection rate of 77.8%.Conclusion：MRI was applied to check in children with cerebral palsy，it can be clearly revealed in children with brain lesion location，the nature and scope，is helpful for guiding clinical medication and predict prognosis of children，worthy of clinical popularization and application. key words：MRI；Cerebral palsy；Clinical diagnosis；Imaging characteristics；Diagnostic value 脑瘫在临床上又称为脑性瘫痪，其是指小儿自受孕起至婴儿期非进行性脑发育缺陷及脑损伤所致的中枢神经障碍性综合征[1]。患儿临床症状主要表现为[2]：运动障碍、姿势异常、智力缺陷、精神障碍以及听觉、视觉、语言障碍等。由于婴幼儿在出生8个月内脑部发育最为快速，因此，早期确诊并给予患儿进行有针对性治疗可有效提高治疗效果，以减轻患儿致残程度