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首发精神分裂症患者的颅脑CT形态改变分析

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目的 探讨首发精神分裂症(First episode schizophrenia,FES)颅脑CT形态改变特点。方法 纳入2021年6月~2023年6月96例FES患者,纳入同期90名体检人群的颅脑CT资料,分别设为FES组以及正常组。比较两组各脑结构CT参数以及脑萎缩发生情况。结果 FES组哈氏值、双额纵裂距离、外侧裂宽度、三脑室宽度、颞叶钩回距离均高于正常组(P<0。05),FES组前角、脑室指数均低于正常组(P<0。05)。FES组脑萎缩发生率显著高于正常组,其中混合型、髓质型、皮质型均显著高于正常组(P<0。05)。结论 FES与正常人群相比具有明显的颅脑CT形态改变,常见双额纵裂、颞叶钩回距离增大、脑萎缩等,FES诊治时应关注其颅脑CT形态改变。
Analysis of changes in cranial CT morphology in first-episode schizophrenia patients
Objective To explore the characteristics of cranial CT morphological changes in patients with first episode schizophrenia(FES).Methods Ninety-six FES patients from June 2021 to June 2023 were included.90 in-dividuals who underwent physical examinations during the same period were included in the cranial CT data,and were divided into the FES group and the normal group,respectively.The CT parameters of different brain structures and the occurrence of brain atrophy between two groups were compared.Results The Hasselblad value,bilateral frontal lon-gitudinal fissure distance,lateral fissure width,third ventricular width,and temporal lobe gyrus distance in the FES group were all higher than those in the normal group(P<0.05).The anterior horn and ventricular index of the FES group were lower than those of the normal group(P<0.05).The incidence of brain atrophy in the FES group was signif-icantly higher than that in the normal group,with mixed type,medullary type,and cortical type all significantly higher than those in the normal group(P<0.05).Conclusion Compared with the normal population,FES has significant changes in brain CT morphology,such as increased distance between bilateral frontal slits,temporal lobe gyrus,and brain atrophy.When diagnosing and treating FES,attention should be paid to the changes in brain CT morphology.

First episode schizophreniaBrain CTMorphological ChangesCerebral atrophy

付小姣、周莉萍、林泽斌

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唐山市第五医院(唐山,063000)

首发精神分裂症 颅脑CT 形态改变 脑萎缩

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(6)