(新疆医科大学第二附属医院 830028)

    【摘要】目的 探讨CT在小儿脑性瘫痪(脑瘫)早期诊断中的价值。方法 对我院脑瘫科160例小儿脑瘫的头颅CT进行回顾性研究分析。结果 160例中有143例头颅CT检查阳性，CT异常率89.38%，其中脑萎缩是最常见的表现(49.38% ) 。临床类型中痉挛型最多见(75.63%)。不同年龄组中，年龄越小，CT异常率越高。结论 虽然CT不能作为诊断脑瘫的主要依据，但有助于早期发现病变，有助于寻找病因及定位，还可以为判断本病的预后提供依据，在脑瘫的早期诊断中具有重要价值。

    【关键词】儿童；脑性瘫痪；计算机断层；诊断

    The early diagnostic value of CT for children with cerebral palsy

    ZHAO Zhi qiangHAO Lu

    【Abstract】Objective:To study the early diagnostic value of CT for children with cerebral palsy. Methods:CT manifestations of 160 cases with cerebral palsy were analysed retrospectively.Results:143 cases of the 160 cases showed a recognisable abnormality, the abnormalrate of CT was about 98.38%,and the most common abnormality was cerebral atrophy. Spastic type was the most common clinical type(75.63%).The less of the age, the higher of the abnormal rate of CT.Conclusion:Although CT isn' t the main basis of the diagnosis of cerebral palsy, it' s helpful for us to find the pathological changes, and to find the eliology and location. It also provided basis for us to judge the prognosis of cerebral palsy. So CT has significant value in the early diagnosis of cerebral palsy. ......