40例小儿脑肿瘤临床特点以及颅脑CT分析.docVIP

论著 40例小儿脑肿瘤临床特点以及颅脑CT分析 Analysis of 40 cases of clinical characteristics of children with brain tumors and brain CT 王磊 成都市武侯区人民医院 610000 【摘要】目的：探讨小儿脑肿瘤临床特点以及颅脑CT临床表现。方法：选取我院于2014年所收治的40例小儿脑肿瘤，对其进行临床特征观察、颅内肿瘤检查，对肿瘤的分布位置以及病例类型进行判断。结果：40例脑肿瘤患者在经过颅内CT检查后，其肿瘤位置包括幕上位置25例（62.5%），幕下位置15例（37.5%）；脑肿瘤患儿的病例类型包括星形细胞瘤，髓母细胞瘤、神经胶质瘤、脊索瘤等，其中以星形细胞瘤与髓母细胞瘤为主；误诊为毒性脑炎患者3例，癫痫患儿2例，肠胃功能紊乱2例，误诊率为17.5%。结论：临床中加强对小儿脑肿瘤CT特点的认识，能够提高术前诊断效果，值得在临床中推广与使用。 Abstract Objective: To investigate the clinical characteristics of brain tumor in children brain and clinical manifestations of CT. Methods: 40 cases of pediatric brain tumors in our hospital in 2014 were selected, the clinical feature was observed and the examination of the distribution of intracranial tumor, location of tumor and case type judgment. Results: 40 cases of patients with brain tumors after intracranial CT examination after the location of the tumor, including 25 cases of supratentorial location (62.5%), 15 cases of screen position (37.5%); brain tumor in children cases types include astrocytoma, medulloblastoma, glioma, chordoma, which in astrocytoma and medulloblastoma; 3 cases were misdiagnosed as encephalitis patients, 2 cases of children with epilepsy, 2 cases of gastrointestinal dysfunction, the rate of misdiagnosis was 17.5%. Conclusion: strengthen the understanding of the CT features of pediatric brain tumors in clinical medicine, can improve the preoperative diagnostic effect and is worthy to be popularized and used in clinic. 【关键词】小儿脑肿瘤；CT；特点 Keywords: pediatric brain tumors; CT; characteristics 近几年，伴随着医疗水平的发展，临床中采用CT诊断小儿脑肿瘤的效率提高，误诊现象减少。但是，小儿由于年龄较小，脑肿瘤表现形式多样且复杂，进而致使临床中早期确诊率比较低。本文为探究小儿脑肿瘤的临床特点以及颅内CT 表现形式，选取我院收治的40例小儿脑肿瘤患者进行研究与分析，现报道如下。 1、资料与方法 1.1 一般资料 本次研究选取我院于2014年接诊的40例脑肿瘤患儿作为研究对象，所有患者入院后均经手术病理确诊。男性患儿29例，女性患儿11例，年龄5个月—3岁，平均年龄3.2岁;年龄5个月—1岁有11例，1岁---2岁有19例，2岁---3岁有10例。患者临床症状表现为：头痛25例，恶心呕吐13例，视力减退16例，失明并视神经乳头萎缩19例，运动失调32例，偏瘫11例，语言障碍、耳鸣9例，智力低下31例。 1.2 CT检查方式 所有患者均采用全身CT机，横轴位扫描层厚与间隔均为5mm，冠状位扫描层厚与间隔均为2mm。对40例患者进行平扫与增强扫面，其增强剂选用优维显