CT和MR诊断小儿脑瘫的应用价值对照分析

Comparative Analysis of the Application Value of CT and MR in the Diagnosis of Children with Cerebral Palsy

目的:对照分析CT和MR诊断小儿脑瘫的结果和应用价值。方法:选取笔者所在医院2016年2月-2018年10月经临床确诊的脑瘫患儿86例,对其CT和MR诊断资料进行回顾性分析,其中施行CT检查的43例患儿设为对照组,施行MR检查的43例患儿设为观察组,对比两组小儿脑瘫诊断的阳性率,进一步分析CT和MR检查小儿脑瘫的影像征象。结果:观察组诊断小儿脑瘫38例(88.4%),对照组诊断小儿脑瘫28例(65.1%),小儿脑瘫诊断阳性率对比差异有统计学意义(P<0.05)。小儿脑瘫的主要征象为脑灰白质萎缩、双侧额部硬膜下积液、脑软化灶,观察组和对照组诊断中脑灰白质萎缩、双侧额部硬膜下积液、脑软化灶占比差异无统计学意义(P>0.05)。结论:较CT诊断,MR诊断小儿脑瘫更有价值。

Objective:To compare the results and application value of CT and MR in the diagnosis of children with cerebral palsy.Method:A total of86 children with cerebral palsy diagnosed by our hospital from February 2016 to October 2018 were enrolled.The CT and MR diagnostic data were retrospectively analyzed.Among them,43 patients who underwent CT examination were used as control group.The 43 children examined MR were enrolled in the observation group.The positive rate of cerebral palsy diagnosis in the two groups was compared.The imaging signs of cerebral palsy in children were further analyzed by CT and MR.Result:The observation group diagnosed 38 children with cerebral palsy(88.4%),and the control group diagnosed 28 children with cerebral palsy(65.1%),there was a statistically significant difference in the positive rate of cerebral palsy in children(P<0.05).The main signs of cerebral palsy in children were cerebral gray matter atrophy,bilateral forehead subdural effusion,brain softening lesions,there was no significant difference in the proportion between two groups(P>0.05).Conclusion:MR diagnosis of cerebral palsy in children is more valuable than CT diagnosis.