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探讨脑瘫患儿脑CT改变与临床的关系。对190例脑瘫患儿全部行脑CT检查,分析临床资料,病因和脑CT改变。结果:①发病年龄多集中在6月至3岁,年龄越小异常率越高。②单纯运动障碍79例(占41.6%),余111例均合并伴随损害(智力、语言障碍、斜视、癫痫发作等)。③原因不明104例(占54.7%),有明确病因者86例(占45.3%)。病因依次为早产、低体重儿、出生时窒息、抽痉、孕期感染等。④CT检查34例(17.9%)为正常,156例(82.1%)异常。异常类型主要为脑萎缩、先天畸形、低密度病变。结论:CT检查可了解颅脑结构异常情况,对推测病因,判断预后以及脑瘫的预防和治疗有重要意义
To explore the relationship between brain CT changes and clinical features in children with cerebral palsy. All 190 cases of cerebral palsy children underwent brain CT examination, analysis of clinical data, etiology and brain CT changes. Results: ① The age of onset mostly concentrated in June to 3 years old, the younger the higher the abnormal rate. 79 cases (41.6%) of simple dyskinesia, more than 111 cases were associated with impairment (intelligence, language impairment, strabismus, seizures, etc.). ③ unknown reason 104 cases (54.7%), there are 86 cases of clear causes (45.3%). Etiology followed by premature birth, low birth weight children, birth suffocation, spasm, infection during pregnancy. ④CT examination in 34 cases (17.9%) was normal, 156 cases (82.1%) abnormalities. Abnormal types of brain atrophy, congenital malformations, low density lesions. Conclusion: CT examination can understand the abnormal brain structure, the etiology, prognosis and cerebral palsy prevention and treatment of great significance