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目的探讨分析脑性瘫痪患儿头颅CT检查结果。方法 76例脑性瘫痪患儿进行CT检查后,对比分析所有患儿的临床表现和检查结果。结果 76例患儿经过CT检查后,表现异常的有50例,异常率为65.8%。CT异常表现为脑萎缩1例、硬膜下积液5例、脑积水23例、脑软化7例、脑皮质发育不良3例、脑裂畸形1例、脑室扩大3例、白质钙化2例、基底节钙化2例、巨脑回2例、蛛网膜囊肿1例;临床不同分型脑瘫患儿的CT异常率不相同,合并症脑瘫患儿的CT异常率显著高于没有合并症。结论对于脑性瘫痪患儿采用头颅CT检查,有利于患儿的早期诊断和早期治疗,但是对于较小的病灶容易被遗漏,要结合其他临床检查来进行综合的判断,才可以保障不会出现漏诊和误诊,头颅CT检查脑性瘫痪患儿具有临床价值意义,可以大力推广。
Objective To investigate the results of skull CT examination in children with cerebral palsy. Methods 76 cases of children with cerebral palsy after CT examination, comparative analysis of all children with clinical manifestations and test results. Results 76 cases of children after CT examination, abnormal performance in 50 cases, the abnormal rate was 65.8%. Abnormal CT showed brain atrophy in 1 case, subdural effusion in 5 cases, 23 cases of hydrocephalus, cerebral softening in 7 cases, cortical dysplasia in 3 cases, schizencephaly in 1 case, ventricular enlargement in 3 cases, white matter calcification in 2 cases , Basal ganglia calcification in 2 cases, giant brain back in 2 cases and arachnoid cyst in 1 case. The abnormal rates of CT in children with different types of cerebral palsy were different, and the CT abnormalities in children with cerebral palsy were significantly higher than those without complications. Conclusion For children with cerebral palsy using cranial CT examination is conducive to the early diagnosis and early treatment of children, but for smaller lesions easily be missed, combined with other clinical tests to make a comprehensive judgment, we can guarantee that does not occur Misdiagnosis and misdiagnosis, head CT examination of children with cerebral palsy has clinical significance, can be vigorously promoted.