王宏,吕剑,董玉茹.儿童缺血缺氧性脑病后遗症的MRI研究[J].中国医学影像技术,1999,15(11):857~859
儿童缺血缺氧性脑病后遗症的MRI研究
MRI Study of Hypoxic-ischemic Encephalopath Sequela in Children
投稿时间:1999-08-20  
DOI:
中文关键词:  脑缺血  脑缺氧  后遗症  磁共振成像  儿童
英文关键词:Cerebral ischemia  Cerebral anoxia  Sequela  Magnetic resonance imaging  Children
基金项目:
作者单位
王宏 武警总医院磁共振室 
吕剑 武警总医院磁共振室 
董玉茹 武警总医院磁共振室 
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中文摘要:
      目的 探讨儿童缺血缺氧性脑病后遗症脑实质的MRI表现。方法 搜集临床诊断为缺血缺氧性脑病的儿童患者79 例,对其行MRI扫描。结果 根据儿童缺血缺氧性脑病后遗症的MRI影像特点,将其分为:(1)脑白质损伤为主:47 例;①脑室周围脑白质脱髓鞘、软化:23 例;②基底节豆状核、视丘神经元选择性损害:9 例;③胼胝体受损变薄:15 例;(2)脑灰质损害为主:18 例;(3)局部或多处脑软化:9 例;(4)广泛脑损害:5 例。结论 MRI对儿童缺血缺氧性脑病损伤具有高度敏感性,是儿童缺血缺氧性脑病后遗症的最佳诊断工具。
英文摘要:
      Purpose To explore the MRI manifestation of hypoxic-ischemic encephalopath sequela in children.Methods To collect children who were diagnosed hypoxic-ischemic encephalopath by clinic in 79 cases for MRI scanning.Results According the MRI characteristric of hypoxic-ischemic encephalopath sequela:(1)The most common findings were white matter injury in 47 cases: ①Periventricular leukomalacia in 23 cases;②Selective cerebral neuronal necrosis of basilar node lentiform nucleus and optic colliculus in 9 cases;③Corpus callosum damaged in 15 cases;(2)The most damaged of grey matter in 18 cases;(3)Focal or multifocal ischemic crerbral intenerate in 9 cases;(4)Diffuse crerbral injury in 5 cases. Conclusion MRI is highly sensitive for hypoxic-ischemic encephalopath sequela, and it is the most diagnosis tools of hypoxic-ischemic encephalopath sequela.
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