摘要
目的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2016年1月~2019年10月山东省聊城市第四人民医院收治的1040例精神病患者,根据病情不同分为A组(精神分裂症,572例)和B组(其他精神病,468例),另选取480例非精神病患者为C组。所有研究对象均接受脑部CT诊断。比较分析三个组别及不同年龄段精神病患者脑部透明隔腔检出情况,并比较检出者隔腔的体积、宽度、长度等。结果A组的透明隔腔总检出率为22.03%,合并单纯透明隔腔检出率为12.94%,合并威氏腔检出率为9.09%;B组的透明隔腔总检出率为7.26%,合并单纯透明隔腔检出率为3.85%,合并威氏腔检出率为3.42%;C组的透明隔腔总检出率为1.25%,合并单纯透明隔腔检出率为0.83%,合并威氏腔检出率为0.42%。其中A组的透明隔腔总检出率、合并单纯透明隔腔检出率、合并威氏腔检出率高于B、C组,B组的透明隔腔总检出率、合并单纯透明隔腔检出率、合并威氏腔检出率高于C组,差异均有统计学意义(P<0.05)。A组的透明隔腔体积、宽度、长度等高于B、C组,而B组高于C组,差异均有统计学意义(P<0.05)。A组的透明隔腔发生年龄段小于B组,差异有统计学意义(P<0.05)。A组>20~30岁时的透明隔腔发生率高于B组>40~50岁时的发生率,差异有统计学意义(P<0.05)。结论采用CT诊断精神分裂症患者的效果显著,对脑部透明隔腔具有较高检出率,其可能是导致患者发病的重要原因,因此需引起临床重视。
Objective To explore the CT manifestations and clinical value of brain transparent septum in schizophrenics.Methods From January 2016 to October 2019,1040 patients with psychosis in the Fourth People′s Hospital of Liaocheng City in Shandong Province were selected and divided into group A(schizophrenia,572 cases)and group B(468 cases of other psychosis)according to different conditions,and another 480 non-psychotic patients were selected as group C.All subjects received CT diagnosis of brain.The detection of brain transparent septum in the three groups and the different age groups were compared,and the volume,width and length of septum were compared.Results The total detection rate of transparent septum in group A was 22.03%,the detection rate of combined simple transparent septum in group A was 12.94%,and the detection rate of combined Vickers cavity in group A was 9.09%.The total detection rate of transparent septum in group B was 7.26%,the detection rate of combined simple transparent septum in group B was 3.85%,the detection rate of combined Vickers cavity in group B was 3.42%.The total detection rate of transparent septum in group C was 1.25%,the detection rate of combined simple transparent septum in group C was 0.83%,the detection rate of combined Vickers cavity in group C was 0.42%,The total detection rate of transparent septum,the detection rate of combined simple transparent septum,the detection rate of combined Vickers cavity in group A were higher than those in group B and group C,and the total detection rate of transparent septum,the detection rate of combined simple transparent septum,the detection rate of combined Vickers cavity in group B were higher than those in group C,the differences were statistically significant(P<0.05).The volume,width,and length of transparent septum in group A were higher than those in group B and group C,while those in group B were higher than those in group C,and the differences were statistically significant(P<0.05).The onset age of transparent septum in group A was smaller than that in group B,the difference was statistically significant(P<0.05).The incidence of transparent compartments in group A at>20-30 years was higher than that in group B at>40-50 years,and the difference was statistically significant(P<0.05).Conclusion CT diagnosis of schizophrenia has a significant effect,with a high detection rate of brain transparent septum,which may be an important reason for the onset of schizophrenia,so it needs to be paid attention to clinically.
作者
付华东
FU Hua-dong(Department of Imaging,the Fourth People′s Hospital of Liaocheng City in Shandong Province,Liaocheng252000,China)
出处
《中国当代医药》
2020年第32期135-137,141,共4页
China Modern Medicine
关键词
精神分裂症
脑部透明隔腔
CT表现
临床价值
Schizophrenia
Brain transparent septum
CT manifestations
Clinical value
