人脑海马体体积、形态的MRI检测在抑郁症患者中的价值

The value of human brain hippocampal volume, morphological mri detection in patients with depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(5)
作者
作者单位

驻马店市精神病医院精神九科 ;
杭州市第七人民医院老年科 ;

摘要
【摘要】 探讨人脑海马体积、形态的MRI检测用于抑郁症患者临床诊断中的价值。方法 选取2015年3月至2016年2月期间入我院就诊的抑郁症患者80例作为观察组,并选取同期在院就诊的非抑郁症80例为对照组,均行脑部MRI检查,检测海马体积和形态,并进行对比。结果 观察组HAMD评分高于对照组,组间差异显著(P<0.05);且观察组左右两侧海马体积均低于对照组,经统计学分析存在显著性差异(P<0.05)。观察组经过治疗后,HAMD评分明显下降,组内比较差异显著(P<0.01);而海马体积变化未见统计学差异(P>0.05)。MRI检查:标准化后,观察组双侧尾部层数均比对照组小。两组双侧海马头和海马体部体积比较未见显著性差异;经三位重建后,观察组患者和正常对照组患者海马尾部的体积和形态差异明显,抑郁症患者海马尾部明显较对照组变短、变细;而海马头部比较,抑郁症患者变窄、变长。结论 人脑海马体积、形态MRI检测用于抑郁症患者临床诊断具有重要指导意义
Abstract
【Abstract】 Objective To evaluate the value of MRI in the detection of human hippocampal volume and morphology in the clinical diagnosis of patients with depression. Methods 80 cases of depressive patients who were admitted to our hospital from March 2015 to February 2016 were selected as the observation group. 80 cases of non-depression were selected as the control group, and MRI examination was performed. Hippocampus volume and morphology, and compared. Results The HAMD score of the observation group was significantly higher than that of the control group (P <0.05). The hippocampal volume of the left and right sides of the observation group was lower than that of the control group, and there was significant difference (P <0.05). The HAMD score was significantly decreased in the observation group after treatment (P <0.01), but there was no significant difference (P> 0.05). MRI examination: After standardization, the number of bilateral trailing layers in the observation group was smaller than that in the control group. There were no significant differences in the volume of hippocampus and hippocampus between the two groups. After three reconstructions, the volume and morphology of the hippocampus were significantly different between the observation group and the normal control group. The hippocampus was significantly higher in the patients with depression than the control group Shorter, thinner; and hippocampus head comparison, depression patients narrowed, longer. Conclusion Human brain hippocampal volume and morphological MRI are useful for clinical diagnosis of patients with depression.
关键词
【关键词】抑郁症;MRI检查;海马体积、形态;应用价值
KeyWord
【Key words】 depression; MRI examination; hippocampal volume, morphology; application value
基金项目
页码 822-825
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赵指亮*,范大庆,唐玉峰,李小青,郭平,谢飞. 人脑海马体体积、形态的MRI检测在抑郁症患者中的价值 [J]. 国际精神病学杂志. 2017; 44; (5). 822 - 825.

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