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目的 研究儿童脑性瘫痪的CT影像学改变。方法 对 4 51例脑性瘫痪患儿进行头部CT扫描 ,男性 30 1例 ,女性 1 50例。年龄 1～ 1 6岁 ,并对其结果进行分析。结果 4 51例中 ,CT异常 334例 ,占 74 .0 % ,CT表现为 8种类型。 1 .脑萎缩 2 1 0例 ,占 62 .8% ;2 .皮质及皮质下脑软化灶 61例 ,占 1 8.2 % ;3.基底节改变 1 2例 ,占 3.6% ;4 .脑发育畸形 6例 ,占 1 .8% ;5.脑积水 2 7例 ,占 8% ;6.脑出血 1 4例 ,占 4 .2 % ;7.蛛网膜下腔出血 4例 ,占 1 .2 % ;正常 1 1 7例。结论 脑萎缩是脑瘫最常见的CT表现。CT分类反映了脑瘫脑部损害的病理改变。CT扫描对脑瘫诊断判断预后有一定价值 ,而临床分型统计结果以痉挛型脑瘫CT异常率最高。
Objective To study CT imaging changes in children with cerebral palsy. Methods CT scans were performed in 451 children with cerebral palsy, including 30 males and 150 females. Age 1 ~ 16 years old, and analyze the results. Results Of the 451 cases, CT abnormalities were found in 334 cases (74.0%) and CT findings were in 8 types. 1. Brain atrophy 210 cases, accounting for 62.8%; 2 cortical and subcortical cerebral softening in 61 cases, accounting for 1 8.2%; 3 basal ganglia change in 12 cases, accounting for 3.6%; 4 brain developmental deformity 6 cases, accounting for 1.8%; 5 hydrocephalus 27 cases, accounting for 8%; 6 cerebral hemorrhage 14 cases, accounting for 4.2%; 7 subarachnoid hemorrhage in 4 cases, accounting for 1.2 %; Normal 117 cases. Conclusion Brain atrophy is the most common CT manifestation of cerebral palsy. CT classification reflects the pathological changes of cerebral palsy damage. CT scan of cerebral palsy diagnosis and prognosis of a certain value, and clinical classification results to spastic cerebral palsy CT abnormalities the highest rate.