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目的:研究脑性瘫痪患儿的CT表现与临床分型关系。方法:对1112例临床诊断为脑瘫的患儿进行CT检查,并对其CT表现进行回顾性分析。结果:1112例中,CT异常880例,阳性率为79．1%。其CT表现分类与临床分型如下:①390例脑萎缩,临床表现为痉挛型309例,共济失调65例,混合型16例;②186例脑发育畸形,临床表现为痉挛型85例,手足徐动型56例,混合型45例;③150例皮质及皮质下脑软化,临床表现为痉挛型78例,手足徐动型44例,混合型28例;④98例基底节病变,临床表现为手足徐动型66例,痉挛型32例;⑤56例混合型,临床表现均为痉挛型;③232例正常型,临床表现为痉挛型131例,手足徐动型60例,共济失调型21例,混合型20例。结论:CT表现反映了不同脑发育阶段脑损害的病理特点,头颅CT影像形态学改变对于早期诊断脑瘫及评价临床疗效和预后具有一定价值。
Objective: To study the relationship between CT features and clinical classification in children with cerebral palsy. Methods: A total of 1112 children with cerebral palsy were enrolled in this study. The CT findings were retrospectively analyzed. Results: In 1112 cases, CT was abnormal in 880 cases, the positive rate was 79.1%. The CT classification and clinical classification of the following: ① 390 cases of brain atrophy, the clinical manifestations of spastic 309 cases, 65 cases of ataxia, mixed 16 cases; ② 186 cases of brain malformations, the clinical manifestations of spastic 85 cases of hand, foot and Xu 56 cases of dynamic type, 45 cases of mixed type; 150 cases of cortical and subcortical brain softening, the clinical manifestations of 78 cases of spasticity, 44 cases of peristalsis, mixed 28 cases; ④98 cases of basal ganglia lesions, clinical manifestations of hand, foot and Xu 66 cases of dynamic type, 32 cases of spasticity; ⑤ 56 cases of mixed type, the clinical manifestations were spastic; ③ The normal type of 232 cases, the clinical manifestations of spasticity in 131 cases, 60 cases of athetosis, ataxia in 21 cases, mixed Type 20 cases. CONCLUSION: The CT findings reflect the pathological features of brain damage in different brain development stages. The morphological changes of cranial CT images have some value for the early diagnosis of cerebral palsy and evaluation of clinical efficacy and prognosis.