340例脑性瘫痪患儿头部CT临床分析

340 examples neural paralysis trouble forehead CT clinical analysis

目的：探讨脑瘫患儿头部CT与临床之间的关系。方法：对340例脑瘫患儿行头部CT检查并将CT结果与脑瘫型剐、合并损伤及高危因素的关系进行分析。结果：脑瘫患儿的头部CT异常率为68．2％，伴有智力低下和癫痫发作的脑瘫患儿头部异常率明显增高，分别为70．8％（X2=5．8，p=0．02）和89．7％（X2=6．7，p=0．01）；高危因素中窒息、早产、低体重、宫内窘迫、宫内感染、颅内感染与头部CT异常发生有密切关系，但各高危因素对头部CT异常发生的影响均没达到显著差异。结论：脑瘫患儿头部CT异常率明显高于正常儿童，且脑功能障碍越明显，头部CT异常率越高。

Objective ： To explore the relation between cranaliscomputer tomography （CT） and clinical appearance in children with cerebral palsy. Methods：340 chilidren with cerebral psly were scaned with CT, the relation between the results of CT and classifica- tion,accompanied injury and high risk factors was analysised. Results：The abnormal rate of CT was 68.2 percent, espically in children with mental retardation and epilepsy, 70.8 percent and 89.7 percent respectively. High risk factors such as asphyxia, premature delivery,low birth weight, embarrass in uterus, infection in uterus, infection in cranium were closely related with the abnormal CT scan,but the effects of these high factors on the abnormal CT were not significant. Conclusions：The abnormal rate of CT in the children with cerebral palsy was higher than the one of healthy children,and more significant the child, s brain dysfunction was, higher was his abnormal cranalis CT rate.