CAJ | 학술논문

目的：探讨精神分裂症患者脑结构异常的 CT 表现。方法对符合《中国精神障碍分类与诊断标准（第3版）》（CCMD -3）精神分裂症诊断标准的581例患者的临床 CT 资料进行分析，采用目测法将精神分裂症脑结构形态异常进行 CT 分型，即皮层脑萎缩、单纯脑室扩大、弥漫性脑萎缩。结果 CT 颅脑扫描检查结果显示精神分裂症患者脑结构异常检出率57.64％。CT 分型：皮层脑萎缩317例、单纯脑室扩大184例、弥漫性脑萎缩80例。脑结构异常者病程＜10年者共436例（75.04％），年龄在21～55岁者共476例（81.93％）。结论精神分裂症患者脑结构异常检出率较高，各种类型的脑结构异常者病程以10年以内为主，且以青壮年居多。
목적：탐토정신분렬증환자뇌결구이상적 CT 표현。방법대부합《중국정신장애분류여진단표준（제3판）》（CCMD -3）정신분렬증진단표준적581례환자적림상 CT 자료진행분석，채용목측법장정신분렬증뇌결구형태이상진행 CT 분형，즉피층뇌위축、단순뇌실확대、미만성뇌위축。결과 CT 로뇌소묘검사결과현시정신분렬증환자뇌결구이상검출솔57.64％。CT 분형：피층뇌위축317례、단순뇌실확대184례、미만성뇌위축80례。뇌결구이상자병정＜10년자공436례（75.04％），년령재21～55세자공476례（81.93％）。결론정신분렬증환자뇌결구이상검출솔교고，각충류형적뇌결구이상자병정이10년이내위주，차이청장년거다。
Objective To investigate the abnormal X - ray computed tomography(CT)imaging of cerebral structures in schizo-phrenia patients. Methods We analyzed the clinical CT data from 581 clinical definite schizophrenia patients(in accordance with CCMD - 3). All patients were divided into three different groups according to the abnormal cerebral structure morphology using ocular estimate:cerebral cortex encephalatrophy group,ventriculomegaly group and diffuse cerebral atrophy group. Results The abnormality rate of cerebral structure CT scan is 57. 64% . There were 317 cases with cerebral cortex encephalatrophy,184 cases with ventriculo-megaly,and 80 cases with diffuse cerebral atrophy. The course of disease was less than 10 years(436 cases,75. 04% ),and the age were from 21 to 55 years old(476 cases,81. 93% )in most patients. Conclusion The detection rate of abnormal cerebral structure in schizophrenia patients was high. Most of them were young adults and the course of disease were less than 10 years mainly in all groups.