摘要
目的:探讨脑CT扫描对脑器质性精神障碍病因的检查和评价。方法:分析1032例精神障碍患者脑CT表现。结果:62例有异常脑CT表现,阳性率为6.0%,涉及9类12种疾病。脑血管疾病、先天性畸形(透明隔囊肿)、脑肿瘤与囊肿、Alzheimer病性脑萎缩、脑白质病分别列前四位。精神障碍病程≤2年与>2年患病人数有显著差异性(P<0.01)。结论:脑CT检查对脑器质性精神障碍的病因诊断至关重要,对初发精神障碍患者脑CT扫描应作为排除脑器质性病变的首选方法。
Objective:To study and evaluate the value of CT in the diagnosis of the etiologic factors in patients with organic mental disorders.Methods:All1032cases diagnosed as mental disorders are enrolled.All these cases have been exam-ined by CT of the head.We group these patients according to their abnormalities on CT findings.Results:In1032cases,62patients (0.6%)have abnormal CT images.They were showed by12diseases of 9kinds.Among these abnormalities,cere-brovascular disorder rank the first place and followed by congenital malformation(Septum lucidum),brain tumur and cysts,brain atrophy of the Alzheimer disease,leuko-encephalopathy.There are significantly difference in the number of cases between whose history is no less than2years and more than2years (P<0.01).Conclusion:CT scan of the head is very important in the diagnosis of the organic mental disorders,and it is first choice of examination in telling whether an incipient case is func-tional or organic.
出处
《中国临床医学影像杂志》
CAS
2002年第5期317-319,共3页
Journal of China Clinic Medical Imaging
关键词
脑器质性精神障碍
CT表现
认知障碍
诊断
delirium,dementia,amnestic,cognitive disorders
tomography,X-ray computed