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Methods:The depth of the anterior and posterior rims of foramen magnum and the angle between medulla oblongata and upper spinal cord on midsagittal SE or FSE T1WI were measured in 320normal Chinese individuals and in 36patients with basilar impression.

随机选取320例没有颅颈交界区相关的临床症状及体症,MRI扫描无明显颅骨破坏性病变和颅颈交界区畸形的正常国人和36例颅底凹陷症患者的颅脑MRI图像,于正中矢状面SE或FSE T_1WI图像上测量枕大孔前、后缘中点深度和延髓-上颈髓轴线夹角数值。正常人按性别、年龄分16组,每组20例。

this gets sick the clinical symptom not to have the characteristic value, the medical history has the reference value.the sphere focus of infection has the crecent moon in the phantom performance to draft, the air bronchial tube drafts, the corona drafts to this sickness has the prompt value, sends the tubercle to see the small empty shade to have the diagnosis value, if in the discovery meniscus cavity has along with the body posture change "in the hole the ball drafts", has the important diagnosis value to the lung aspergillomycosis.this gets sick the diagnosis needs the pathology and the bacteriology inspection.

本病临床症状无特征性,病史有参考价值。在影像表现上球形病灶有新月征、空气支气管征、晕征对本病有提示价值,多发小结节均见小空洞影有诊断价值,如发现半月形空洞内有随体位改变的&洞中球征&,对肺曲菌病有重要诊断价值。本病的确诊需病理和细菌学检查。

Abstract] objective to observe the clinical value of botulinus toxin a on the treatment of spastic cerebral palsy for children.methods thirty children were injected with bta for spasticity treatment,the dosage was 2~5 u/kg; the therapeutic efficacy was evaluated by physician rating scale and dystonia was evaluated by improved ashworth and the result was done with statistical analysis.results 29 cases was obviously improved in symptoms after injection.no obvious side effects were found during and after injection.conclusion btx-a proves to be a simple,safe and effective method in the treatment of the spastic cerebral palsy.in short,it is a useful therapeutic option.

目的 探讨a型肉毒毒素对痉挛性小儿脑瘫的临床疗效。方法根据纳入标准,选择30例患儿作为观察对象,采用bta肌肉注射,剂量为2~5 u/kg。疗效评定:肌张力采用改良的ashworth法评价、prs评分,并进行统计学处理。结果 29例治疗后较治疗前症状明显改善,其prs指标治疗前后比较差异显著(p.01);按ashworth分级,30例中,治疗前最高5级,最低2级,平均4级。注射后除一例无效外,肌张力降为最高4级,最低1级,平均2级。治疗中及治疗后无明显副作用发生。结论 bta治疗痉挛性小儿脑瘫,副作用小,方法简单,刺激性小,维持有效时间长。bta是改善小儿脑瘫肌痉挛和肢体功能的一种实用性的治疗选择。

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