脑瘫怎么做检查？ 检查脑瘫是做什么检查
\u5c0f\u513f\u8111\u762b\u9700\u8981\u505a\u4ec0\u4e48\u68c0\u67e5\u786e\u8bca\u3000\u3000\u8111\u762b\u4e5f\u5c31\u662f\u8111\u6027\u762b\u75ea\uff0c\u662f\u591a\u79cd\u539f\u56e0\u5f15\u8d77\u7684\u4e2d\u67a2\u6027\u8fd0\u52a8\u529f\u80fd\u7f3a\u9677\uff0c\u4e25\u91cd\u8005\u5e38\u4f34\u6709\u62bd\u6410\u53ca\u667a\u529b\u3001\u884c\u4e3a\u3001\u6027\u683c\u3001\u611f\u89c9\u7b49\u65b9\u9762\u7684\u969c\u788d\u3002\u4e13\u5bb6\u8bf4\uff0c\u5c0f\u513f\u8111\u762b\u5728\u4e00\u5b9a\u7a0b\u5ea6\u4e0a\u5bf9\u5b69\u5b50\u7684\u667a\u529b\u662f\u6709\u5f71\u54cd\u7684\u3002\u6240\u4ee5\u4e00\u5c0f\u513f\u8111\u762b\u68c0\u67e5\u662f\u5c11\u4e0d\u4e86\u7684\uff0c\u90a3\u4e48\uff0c\u3000\u30001\u3001\u7535\u751f\u7406\u68c0\u6d4b\uff1a\u2460\u8111\u7535\u56fe (EEG) \uff1a\u7ea6\u670980%\u7684\u8111\u762b\u60a3\u513f\u6709\u8111\u7535\u6ce2\u5f02\u5e38\uff0c\u5176\u4e2d\u504f\u762b\u7684\u8111\u7535\u56fe\u5f02\u5e38\u7387\u9ad8\u3002\u4e5f\u6709\u53ef\u80fd\u6b63\u5e38\uff0c\u4e5f\u53ef\u8868\u73b0\u5f02\u5e38\u80cc\u666f\u6d3b\u52a8\uff0c\u4f34\u6709\u75eb\u6027\u653e\u7535\u6ce2\u8005\u5e94\u6ce8\u610f\u5408\u5e76\u766b\u75eb\u7684\u53ef\u80fd\u6027\u3002\u2461\u8111\u7535\u5730\u5f62\u56fe (BEAM)\uff1a\u68c0\u6d4b\u5c0f\u513f\u8111\u53d1\u80b2\u4e0e\u8111\u6ce2\u53d8\u5316\u3002\u2462\u8111\u78c1\u56fe\u3002\u2463\u8bf1\u53d1\u7535\u4f4d\uff1a\u89c6\u529b\u51cf\u9000\u6216\u542c\u529b\u969c\u788d\u8005\u53ef\u5206\u522b\u7ed9\u4e88\u89c6\u8bf1\u53d1\u7535\u4f4d\u548c\u542c\u8bf1\u53d1\u7535\u4f4d\u68c0\u67e5\u3002\u2464\u808c\u7535\u56fe\uff1a\u4e86\u89e3\u808c\u8089\u548c\u795e\u7ecf\u7684\u529f\u80fd\u72b6\u6001\u3002\u5c0f\u513f\u8111\u762b\u5408\u5e76\u808c\u840e\u7f29\u8005\u5c3d\u53ef\u80fd\u4f5c\u6b64\u68c0\u67e5\u3002\u2465\u8111\u963b\u6297\u8840\u6d41\u56fe (REG)\uff1a\u68c0\u67e5\u5934\u90e8\u8840\u7ba1\u529f\u80fd\u548c\u4f9b\u8840\u60c5\u51b5\u3002\u3000\u30002\u3001\u5934\u9885 CT\u3001MRI\uff1a\u901a\u8fc7\u5934\u9885 CT\u3001 MRI\u7684\u68c0\u67e5\uff0c\u4f1a\u6709 1/2-2/3\u7684\u8111\u762b\u60a3\u513f\u51fa\u73b0\u5f02\u5e38\uff0c\u4f46\u6b63\u5e38\u8005\u4e0d\u80fd\u5426\u5b9a\u672c\u75c5\u7684\u8bca\u65ad\u3002\u5927\u591a\u6570\u8111\u762b\u60a3\u8005\u53ef\u53d1\u73b0\u8111\u840e\u7f29\u3001\u5916\u90e8\u6027\u8111\u79ef\u6c34\u3001\u8111\u8f6f\u5316\u6216\u8111\u7a7f\u901a\u7578\u5f62\u3002
1\u3001\u667a\u529b\u68c0\u67e5\uff1a\u53ef\u4ee5\u6d4b\u8bd5\u60a3\u513f\u7684\u667a\u529b\u5f71\u54cd\u72b6\u51b5\uff0c\u6709\u52a9\u4e8e\u533b\u751f\u7684\u8bca\u65ad\u548c\u6cbb\u7597\uff0c\u5bf9\u8111\u762b\u60a3\u513f\u4eca\u540e\u7684\u667a\u529b\u53d1\u80b2\u8d77\u7740\u91cd\u5927\u4f5c\u7528\u3002
2\u3001\u8111\u7535\u56fe\uff08EEG\uff09 \uff1a1/4\u7684\u8111\u762b\u60a3\u513f\u5b58\u5728\u8111\u7535\u6ce2\u5f02\u5e38\u7684\u73b0\u8c61\uff0c\u504f\u762b\u7684\u8111\u7535\u56fe\u5f02\u5e38\u7387\u9ad8\uff0c\u4f46\u540c\u65f6\u4e5f\u8981\u6392\u9664\u662f\u766b\u75eb\u60a3\u513f\u7684\u53ef\u80fd\u6027\u3002
3\u3001\u6838\u78c1\u5171\u632f\uff08MRI\uff09\uff1a\u5728\u4e34\u5e8a\u4e0a\u662f\u4e00\u79cd\u91cd\u8981\u7684\u5f71\u50cf\u5b66\u8bca\u65ad\u624b\u6bb5\uff0c\u80fd\u663e\u793a\u9885\u8111\u7684\u5f62\u6001\u5b66\u6539\u53d8\uff0c\u5bf9\u8111\u762b\u7684\u65e9\u671f\u8bca\u65ad\u6709\u91cd\u8981\u53c2\u8003\u4ef7\u503c\uff0c\u6709\u52a9\u4e8e\u8111\u762b\u75c5\u56e0\u5206\u6790\uff0c\u5728\u9274\u522b\u8bca\u65ad\u548c\u6307\u5bfc\u6cbb\u7597\u65b9\u6848\u7684\u5236\u5b9a\u4e0a\u63d0\u4f9b\u91cd\u8981\u4f9d\u636e\u3002
诊断脑瘫必须符合三个标准：高危病史+临床表现+影像学支持
绛旓細澶撮纾佸叡鎸紝鑴戠數鍥撅紝杩樻湁閬椾紶浠ｈ阿鐥咃紝鏈濂藉彲浠ュ仛鍩哄洜鏂归潰鐨妫鏌
绛旓細鍥炵瓟锛氫綘濂,灏忓鑴戠槴,棰呭唴鑴戝疄璐ㄥ湪褰卞儚涓婁細鏀瑰彉,鍙互閫氳繃澶撮MRI妫鏌鍩烘湰鍙互纭瘖銆1.X灏勭嚎澶撮骞崇墖,鍙彁渚涢鍘嬪楂樺強瀹氫綅鐨勮瘉鎹 銆銆2.瓒呭０娉㈡鏌:涓嚎娉㈠悜鍋ヤ晶绉讳綅銆侭瓒呮柇灞傛樉鍍忚兘鐪嬪埌鍗犱綅鐥呭彉浣嶇疆鐨勫ぇ灏忋 銆銆3.CT銆丮RI鎵弿:鍙壂鎻忓嚭鍚勫眰娆″叿浣撶殑鍐呴儴缁撴瀯鍜岃剳缁勭粐鐨勪笉鍚屽浘鍍,鏈夌梾鍙樺瀵嗗害澧為珮銆...
绛旓細涓鏃﹀緱浜鑴戠槴鐨勮瘽浼氬嚭鐜版櫤鍔涗綆涓嬬敓闀垮彂鑲茬紦鎱㈡墜鑴氬嚭鐜拌悗缂╃棄鎸涚殑鎯呭喌锛岀洰鍓嶅彲浠ョ敤鑴戦儴ct鍜屾濈淮鐨勬柟寮忔潵妫鏌鏄惁寰椾簡鑴戠槴锛屼竴鏃﹀嚭鐜帮紝浠讳綍涓婅堪鐨勭棁鐘朵竴瀹氳鍙婃椂鐨勫幓妫鏌ュ崈涓囦笉瑕佽借鐥呮儏纭瘖涓鸿剳鐦悗涓瀹氳绉瀬鐨勬不鐤椼
绛旓細(2)鑴戠數鍦板舰鍥撅細妫娴嬪洘闂ㄥ彂鑲蹭笌鑴戞尝鍙樺寲銆(3)璇卞彂鐢典綅锛氳鍔涘噺閫鎴栧惉鍔涢殰纰嶈呭彲鍒嗗埆缁欎簣瑙嗚鍙戠數浣嶅拰鍚鍙戠數浣妫鏌銆(4)鑲岀數鍥撅細浜嗚В鑲岃倝鍜岀缁忕殑鍔熻兘鐘舵侊紝灏忓効鑴戠槴鍚堝苟鑲岃悗缂╄呭敖鍙兘鍋氭妫鏌ャ(5) 澶撮CT銆丮R鐫戞煡锛1/2 - 2/3鐨勬偅鍎垮彲鏈夊紓甯革紝浣咰T銆丮R鍛涙煡缁撴灉姝ｅ父鑰呬笉鑳藉惁瀹氬皬鍎胯剳鐦殑璇婃柇...
绛旓細1銆佹櫤鍔妫鏌锛氬彲浠ユ祴璇曟偅鍎跨殑鏅哄姏褰卞搷鐘跺喌锛屾湁鍔╀簬鍖荤敓鐨勮瘖鏂拰娌荤枟锛屽鑴戠槴鎮ｅ効浠婂悗鐨勬櫤鍔涘彂鑲茶捣鐫閲嶅ぇ浣滅敤銆2銆佽剳鐢靛浘锛圗EG锛 锛1/4鐨勮剳鐦偅鍎垮瓨鍦ㄨ剳鐢垫尝寮傚父鐨勭幇璞★紝鍋忕槴鐨勮剳鐢靛浘寮傚父鐜囬珮锛屼絾鍚屾椂涔熻鎺掗櫎鏄櫕鐥偅鍎跨殑鍙兘鎬с3銆佹牳纾佸叡鎸紙MRI锛夛細鍦ㄤ复搴婁笂鏄竴绉嶉噸瑕佺殑褰卞儚瀛﹁瘖鏂墜娈碉紝鑳芥樉绀洪鑴...
绛旓細鑴戠槴鍙鍋欳T灏卞彲浠ョ湅鍑烘潵锛屽洜涓鸿繖绫诲瀛愪富瑕佹槸澶ц剳鍙戣偛涓嶅仴鍏ㄨ岄犳垚鐨勮偄浣撲笂鐨勯棶棰樸傚鏋滃瀛愮敓娲诲綋涓瓨鍦ㄨ偄浣撴柟闈㈢殑闂锛孋T鏄剧ず澶ц剳涔熷瓨鍦ㄧ梾鐏讹紝灏卞彲浠ヨ鏄剳鐦傜洰鍓嶆不鐤楄剳鐦渶濂界殑鏂规硶灏辨槸璁╁ぇ鑴戠粍缁囪繘琛屽啀娆＄敓闀匡紝杩欐牱鎵嶅彲浠ヨВ鍐宠偄浣撶瓑鏂归潰鐨勯棶棰樸傚寳浜湁椤规妧鏈滀簲琛屽洖鍏冣濇偍鍘讳簡瑙ｄ笅锛屾湁鍐呭鏈夎棰戙
绛旓細瀹濆疂鏃╂湡鑴戠槴鈥滃Э鍔垮弽搴斾竷椤光濊嚜娴嬪鐓ц〃 濮垮娍寮傚父鏄剳鐦渶閲嶈鐨勪复搴婅〃鐜帮紝鏃╂湡鍙戠幇濮垮娍寮傚父锛屽氨鑳芥棭鏈熻鍑鸿剳鐦惧悜銆傚瀛愭槸鍚︽湁濮垮娍寮傚父瀹堕暱鍙敤鈥滃Э鍔垮弽搴7椤光濊嚜娴嬶紝鍏朵腑浠讳綍涓椤规墍杩扮殑寮傚父瀛樺湪锛屽潎搴斿強鏃跺氨鍖昏繘涓姝妫鏌銆1. 鎶变綅鍙婁话鍗т綅鐨勮嚜鍙戝Э鍔 鈻℃媷鎸囧唴鏀 鈻″ご鍋忔枩 鈻″ご鍚庝话 鈻′笅鑲㈠兊纭 ...
绛旓細鏈枃灏嗕粙缁鑴戠槴鐨勬棭鏈熷彂鐜板拰娌荤枟鏂规硶,甯姪瀹堕暱鏇村ソ鍦颁簡瑙ｅ拰搴斿杩欑鐤剧梾銆鏃╂湡鍙戠幇瀹濊礉鑴戠槴涓ラ噸鐨勮瘽,閫氬父鍦3-5涓湀鐨勬椂鍊欏氨鑳借瀵熷嚭鏉ャ傝嫢鑴戠槴鎯呭喌涓嶉偅涔堜弗閲,瀹濆疂鍙兘瑕佺瓑鍒颁竴宀佷互鍚庢墠浼氳鍙戠幇銆傚鏋滃彂鐜板疂瀹濊繍鍔ㄥ彂鑲叉粸鍚,瀵瑰鐣屽弽搴旇繜閽,璇█鍙戣偛涓嶈壇,鎴栬呭嚭鐜扮壒娈婇潰瀹规垨琛ㄦ儏鍛嗘澘鐨勬儏鍐,搴斿敖鏃╁甫瀹濆疂鍘诲尰闄㈣繘琛妫鏌...
绛旓細閭ｄ箞锛岃瘖鏂鑴戠槴闇瑕佸摢浜妫鏌鍛紵(1)鑴戠數鍥:绾80%鐨勮剳鐦偅鍎挎湁鑴戠數娉㈠紓甯革紝鍏朵腑鍋忕槴鐨勮剳鐢靛浘寮傚父楂橈紝鍙兘鏄甯哥殑锛屼篃鍙兘鏄剧ず鑳屾櫙娲诲姩寮傚父銆傛湁鐧棲鏀剧數娉㈢殑浜鸿娉ㄦ剰鐧棲鐨勫彲鑳斤紝鐧棲鏄剳鐦偅鍎跨殑妫鏌ヤ箣涓銆(2)CT:鑴戞х槴鐥鎮ｅ効鐨勫ご閮–T妫鏌ユ槸甯歌妫鏌ワ紝鐗瑰埆鏄鑴戞х槴鐥殑璇婃柇銆佸垎绫汇佸垎绾у拰鐥呭洜鐨勬鏌...
绛旓細瀛╁瓙鍙互缈昏韩鐖互鍙婄嫭鍧愭殏鏃朵笉鑰冭檻鏄鑴戠槴鐨,浣嗘槸濡傛灉鏄笉鑳芥壎鐫绔欑珛閭ｅ氨鏄渶瑕佽冭檻鑴戦儴鍙戣偛杩熺紦鏄湁鍏崇郴鐨,鎵浠ユ槸闇瑕佹敞鎰忓畾鏈熺粰瀛╁瓙鍋氱缁忕郴缁熺殑妫鏌鏄庣‘銆易鑴戦儴CT妫鏌ユ槑纭墍浠ョ洰鍓嶆槸闇瑕佺粨鍚堣剳閮–T妫鏌ユ槑纭殑銆鍑虹敓鏃剁己姘ф儏鍐靛啀灏辨槸闇瑕佽冭檻鏄惁鏈夊嚭鐢熸椂鍊欐湁缂烘哀绛夋儏鍐靛瓨鍦ㄧ殑銆溺鑴戦儴鍙戣偛杩熺紦濡傛灉鏄湁杩欎簺闂閭...
