MRI在脑性瘫痪患儿临床中的应用价值及意义

Magnetic Resonance Imaging(MRI) in Children with Cerebral Palsy in the Clinical Application Value and Significance

目的研究MRI技术对于脑瘫性患儿的临床应用价值以及相关意义。方法对我院2013年5月至2014年5月入院治疗脑性瘫痪的患儿25例进行研究。研究分析所有患儿的临床表现以及MRI影像学特征。结果所有患儿经过MRI检测,结果显示为12例患儿脑白质出现病变;5例患儿胼骶体出现病变;3例患儿脑部出现软化灶;2例患儿出现脑部萎缩。6例患儿检测结果显示正常,19例显示为异常。所有患儿家属对MRI检测实施前后各指标评分情况显示。对患儿的生活质量以及情绪在检测之前评分为(65.3±5.0)分以及(68.2±5.4)分,明显低于检测后的(87.5±5.8)以及(89.3±6.1)分,差异具有统计学意义(P<0.05)。所有患儿在治疗之后再次进行MRI检测,在脑白质发生病变的12例患儿中,9例基本得到恢复,3例得到有效改善。2例脑萎缩患者中,1例基本恢复,1例得到有效改善。经过卡方关联检验,患儿脑内的病灶缓解情况与患儿的康复情况之间存在显著性关联(P<0.05)。结论MRI对于脑性瘫痪患儿具有重要临床意义。MRI能够对患儿病变位置进行确定,早日对患儿确诊就可以及时进行诊治。对患儿的身心发展具有重要意义。

Objective To study the clinical application of MRI technology for children with cerebral palsy sex value and the significance. Methods From May 2013 to May 2013 hospitalized children with cerebral palsy of 25 cases were studied. Research and analysis all the patient＇s clinical manifestation and MRI imaging features. Results All children through MRI detection, appears according to the results of 12 cases of children with cerebral white matter lesions; 5 cases underwent subcallosal sacral body appear lesions; 3 cases of children with brain softening oven; 2 cases of children with brain atrophy. Tests showed normal 6 cases, 19 cases displayed as abnormal. All the families of children with the MRI testing showed the index scores before and after the implementation situation. Quality of children＇s life and mood for before the test score （65.3-5.0） and （68.2-5.4）, significantly lower after testing （87.5-5.8） and （89.3-6.1）, statistically significant difference （P〈0.05）. All children with MRI test again after the treatment, the cerebral white matter lesions in 12 cases, 9 cases of basic restoration, 3 cases improved effectively. 2 cases of brain atrophy patients, 1 case of basic recovery, 1 case was improved effectively. Through the associated chi-square test, children with brain lesions ease the situation and the patient＇s recovery between the significant correlation （P〈0.05）. Conclusion MRI has important clinical significance in children with cerebral palsy. MRI can be determined for children with lesion location, can in time to make a diagnosis and give treatment on children with diagnosed at an early date. It is of great significance to children＇s physical and mental development. Worthy of clinical use.