皮层下动脉硬化性脑病早期CT诊断的探讨(附65例分析)-东南大学学报医学版

皮层下动脉硬化性脑病早期CT诊断的探讨(附65例分析)

单位：洛阳机车厂职工医院,放射科,河南,洛阳,471002

分类号：R814.42, R743.1

出版年·卷·期（页码）：2002·21·第三期（244-246）

摘要：

目的:探讨皮层下动脉硬化性脑病(SAE)早期CT诊断的意义.方法:结合临床对65例皮层下动脉硬化性脑病患者的CT表现进行分析,根据侧脑室前角周围脑白质脱髓鞘病变程度不同,将其分为Ⅰ～Ⅲ型.结果:Ⅰ型和Ⅱ型病例中有56例(86%)不伴随痴呆和精神障碍方面的症状,Ⅰ～Ⅲ型病例均伴有不同程度脑萎缩、脑梗死和脑出血.结论:SAE早期CT诊断对于临床在早期预防、诊断和治疗SAE方面具有重要意义.

Objective To discuss the importance of early computed tomography(CT) diagnosis of the subcortical arteriosclerotic encephalopathy (SAE).Method The CT results of 65 cases were analyzed,and the patients were divided into the Ⅰ to Ⅲ phases according to the demyelination in anterior horn lateralis ventriculus.Result There aren’t the dementia and the pneuma discapability for 56 cases (86%) in Ⅰ and Ⅱ.And there were every kinds of the brain atroply,the infarction and the intracerebral hemorrhage in Ⅰ to Ⅲ phases.Conclusion Early CT diagnosis is very important to SAE’s protesting,diagnosing and treating.

参考文献：

[1] 吴恩惠. 脑变性疾病与脱髓鞘疾病(下). 临床放射学杂志1999(2). doi:10.3969/j.issn.1001-9324.1999.02.017
[2] 蒲传强, 朗森阳. 脑血管病学, 1999
[3] 黄定久. 老年病学, 1991

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