摘要
目的分析热性惊厥患儿颅脑磁共振检查结果,为临床医生合理应用磁共振检查提供依据。方法解放军第二〇二医院儿科2013年6月至2014年6月收治住院并进行颅脑MRI检查的热性惊厥患儿192例,对其临床资料进行分析,比较单纯性和复杂性热性惊厥患儿磁共振检查结果的异常率。结果192例热性惊厥患儿中,单纯性167例,复杂性25例。MRI结果异常25例,其中单纯性MRI异常率为10.2%(17/167),复杂性MRI异常率为32.0%(8/25),单纯性与复杂性热性惊厥患儿MRI异常率比较差异有统计学意义(P<0.01)。MRI异常的患儿中,脑白质髓鞘化不良11例,脑室增大和脑外间隙增宽6例,脑室周围白质软化4例,蛛网膜下腔囊肿3例,多发小软化灶1例。结论对于单纯性热性惊厥,可不必常规做颅脑MRI检查;复杂性热性惊厥颅脑MRI阳性率较高,常可发现神经系统的基础病变,应列为常规检查。
Objective To investigate the results of brain MRI in children with febrile seizures in order to provide the basis for using brain MRI properly. Methods The clinical data of 192 children with febrile seizures hospitalized from June 2013 to June 2014 examined with brain MRI were analyzed retrospectively, and the rate of abnormal brain MRI result was compared between the children with simple febrile seizures and complex febrile seizures. Results There were 167 cases of simple febrile seizures and 25 cases of com- plex febrile seizures in all 192 children with febrile seizures. Abnormal brain MRI results were detected in 25 cases,the rate of abnormal MRI was 10.2% in simple febrile seizures and 32% in complex febrile seizures. There was significant difference in the rate of abnormal brain MRI between children with simple febrile sei- zures and complex febrile seizures. Conclusion The brain MRI doesn＇t need to be used routinely in children with simple febrile seizures. If there is higher positive rate of brain MRI in children with complex febrile seizures and basic pathological changes are found,the brain MRI should be used routinely.
出处
《中国中西医结合儿科学》
2016年第1期29-31,共3页
Chinese Pediatrics of Integrated Traditional and Western Medicine
