河北医科大学学报

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脑室周围白质软化症胼胝体形态改变的MRI研究#br#

  

  1. 河北医科大学第一医院放射科,河北 石家庄 050031
  • 出版日期:2017-08-25 发布日期:2017-08-09
  • 作者简介:何丽(1980-),女,河北藁城人,河北医科大学第一医院副主任医师,医学硕士,从事医学影像学诊断研究。

MRI study of morphology changes in the corpus callosum in children with periventricular leukomalacia

  1. Depatment of Radiology, the Frist Hospital of Heibei Medical Universtiy, Shijiazhuang 050031, China
  • Online:2017-08-25 Published:2017-08-09

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨脑室周围白质软化症(periventricular leukomalacia,PVL)患儿的胼胝体形态改变。
〖HTH〗方法〖HTSS〗〖KG*2〗 选择PVL患儿40例(年龄1~4岁)及同龄同性别的正常对照组儿童40例,采用常规MRI测量胼胝体膝部、体部、峡部、压部厚度,胼胝体长度,胼胝体面积,颅腔有效面积。
〖HTH〗结果〖HTSS〗〖KG*2〗PVL组胼胝体膝部、体部、峡部、压部厚度,胼胝体长度,胼胝体面积,颅腔有效面积及胼胝体标准化面积均小于对照组,差异有统计学意义(P<005)。中度PVL组胼胝体膝部、体部、峡部、压部厚度,胼胝体面积,颅腔有效面积及胼胝体标准化面积均小于轻度PVL组,差异有统计学意义(P<005),胼胝体长度与轻度PVL组差异无统计学意义(P>005)。
〖HTH〗结论〖HTSS〗〖KG*2〗PVL患儿胼胝体存在不同程度萎缩变薄,中度PVL患儿胼胝体变薄的范围大于轻度PVL患儿。应用MRI正中矢状位测量PVL患儿胼胝体形态改变,可为PVL患儿分度提供定量依据。

关键词: 白质软化症, 脑室周围, 胼胝体, 磁共振成像

Abstract: [Abstract]  Objective〖HTSS〗〓To evaluate the changes in the corpus callosum of periventricular leukomalacia (PVL).
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Forty cases of PVL(age 1-4 years old)and 40 cases of ageand sexmatched healthy children underwent conventional magnetic resonance imaging(MRI). The width of the corpus callosum genu and body, isthmus and splenium, the length of corpus callosum, area of corpus callosum, the effective area of the cranial cavity were measured.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The width of corpus callosum genu, body, isthmus, splenium, length, the area of corpus callosum, effective area of cranial cavity and normalized area of corpus callosum were lower than controls(P<005).The width of corpus callosum genu, body, isthmus and splenium, the effective area of the cranial cavity,the area and normalized area of corpus callosum of moderate PVL group were less than mild(P<0.05). There was no significant difference in the length of the corpus callosum between the mild and moderate PVL groups(P>0.05).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The corpus callosum appears to shrinks in varying degrees in children with PVL. The extent of the thinning of the corpus callosum in children with moderate PVL was larger than that of the mild PVL. Therefore, midsagittal of MRI can be used to measure the morphological changes of the corpus callosum in children with PVL, and can provide quantitative diagnosis for degree of PVL in children.

Key words: leukomalacia, periventricular, corpus callosum, magnetic resonance imaging