精神分裂症患者脑部透明隔腔的CT表现及临床价值

CT findings and clinical value of brain transparent septum in patients with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

邻水县人民医院CT室 ;
邻水县人民医院CT室 ;
四川大学华西医院 ;

摘要
[摘要] 探讨精神分裂症患者脑部透明隔腔的CT表现及临床价值。方法 选取精神病院2013年10月至2016年10月诊治的精神分裂症患者178例为A组,同期诊治的其他精神病患者413例为B组,同期健康体检人员205例为C组,均行脑部CT检查。比较各组脑部透明隔腔的CT表现及临床价值。结果 A组单纯透明隔腔发生率(12.9%)、透明隔腔合并威氏腔发生率(9.0%)、透明隔腔总体检出率(21.9%)高于B组[(2.7%)、(1.9%)、(4.6%)]和C组[(1.0%)、(0.5%)、(1.5%)]。B组单纯透明隔腔发生率(2.7%)、透明隔腔合并威氏腔发生率(1.9%)、透明隔腔总体检出率(4.6%)高于C组[(1.0%)、(0.5%)、(1.5%)]。A组脑部透明隔腔的CT表现[宽度(3.20±0.45mm)、长度(5.66±1.52mm)、体积(33.40±2.03mm3)]高于B组[(2.53±0.31mm)、(3.78±1.39mm)、(24.95±1.62 mm3)]和C组[(2.04±0.30mm)、(3.11±0.78mm)、(7.04±1.04 mm3)]。B组脑部透明隔腔的CT表现[(2.53±0.31mm)、(3.78±1.39mm)、(24.95±1.62 mm3)]高于C组[(2.04±0.30mm)、(3.11±0.78mm)、(7.04±1.04 mm3)]。A组[16~20岁13例(33.3%)、21~30岁17例(43.6%)、31~40岁6例(15.4%)、41~50岁2例(5.1%)、51岁及以上1例(2.6%)]与B组[16~20岁0例(0.0%)、21~30岁1例(5.3%)、31~40岁3例(15.8%)、41~50岁10例(52.6%)、51岁及以上5例(26.3%)]的发病年龄比较,A组更为年轻(p<0.05)。结论 精神分裂症患者脑部透明隔腔的发生率较高,作为一种异常形态结构改变,CT表现特异,在疾病诊断和治疗中具有较高的临床价值。
Abstract
[Abstract] Objective To investigate CT findings and clinical value of brain transparent septum in patients with schizophrenia. Methods 178 patients with schizophrenia were selected in mental hospital from October 2013 to October 2016 as group A. 413 patients with other psychosis were selected at same period as group B.205 health examination personnel were selected at same period as group C. All people received brain CT examination. CT findings and clinical value of brain transparent septum were compared between each groups. Results The incidence of simple septum (12.9%), incidence of septum combined with lumen (9%),total output rate of septum (21.9%) in group A were higher than group B [ (2.7%), (1.9%), (4.6%)] and group C [ (1.0%), (0.5%), (1.5%)]. The incidence of simple septum (2.7%), incidence of septum combined with lumen (1.9%),total output rate of septum (4.6%) in group B were higher than group C [(1.0%), (0.5%), (1.5%)]. CT findings of brain transparent septum[width (6.20±0.45mm), length (8.66±1.52mm), volume (37.40±2.03mm3) ] in group A were higher than group B[(4.53±0.31mm), (6.78±1.39mm), (26.95±1.62 mm3) ]and group C[(2.04±0.30mm),(3.11±0.78mm),(7.04±1.04 mm3)]. CT findings of brain transparent septum[width (2.53±0.31mm), length (3.78±1.39mm), volume (24.95±1.62mm3) ] in group B were higher than group C[(2.04±0.30mm),(3.11±0.78mm),(7.04±1.04 mm3)].Compared with onset age between group A [13 cases from 16 to 20 years old(33.3%),17 cases from 21 to 30 years old(43.6%),6 cases from 31 to 40 years old(15.4%),2 cases from 41 to 50 years old(5.1%),1 case of 51 years old and above(2.6%)]. and group B[0 case from 16 to 20 years old(0.0%),1 case from 21 to 30 years old(5.3%),3 cases from 31 to 40 years old(15.8%),10 cases from 41 to 50 years old(52.6%),5 cases of 51 years old and above(26.3%)], group A was younger (P<0.05). Conclusion Brain transparent septum have high incidence in patients with schizophrenia. As an abnormal morphological change, manifestation of CT is specific, which has high clinical value in the diagnosis and treatment of disease.
关键词
[关键词] 精神分裂症;透明隔腔;CT表现;临床价值
KeyWord
[Key words] Schizophrenia; Transparent septum; CT findings; Clinical value
基金项目
页码 648-650
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周昌谷*,罗玉霞,任素蓉,张燕. 精神分裂症患者脑部透明隔腔的CT表现及临床价值 [J]. 国际精神病学杂志. 2018; 45; (4). 648 - 650.

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