Clinical diagnostic value of pineal calcification in patients with first episode schizophrenia
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摘要: 目的 研究松果体钙化(PC)对首发精神分裂症(FES)患者的临床诊断价值。 方法 回顾性分析220例经临床确诊的FES患者的脑部CT图像,观察FES患者的松果体有无钙化,同时测量其钙化大小,并与对照组(n=200)进行对照研究。按照临床分型患者组分两亚组:偏执型组和非偏执型组。经统计学处理后分析:①PC在患者组与对照组之间的差异。②PC在偏执型组与非偏执型组中的差异。③PC在患者组与对照组男女之间的差异。④患者组中PC发生率及钙化大小与年龄相关性。 结果 ①患者组PC 139例,其中男性71例,女性68例,发生率为63.18%(139/220);对照组PC 90例,其中男性41例,女性49例,发生率45%(90/200)。FES患者PC发生率明显高于对照组(χ2=13.97,P=0.001)。②偏执型组与非偏执型组PC发生率差异无统计学意义(χ2=0.28,P=0.60)。③PC在患者组与对照组男女性别之间差异无统计学意义(χ2=0.88,P=0.35;χ2=0.25,P=0.62)。④患者组钙化大小在18岁之前随患者年龄增加而增大,呈正相关(r=0.96,P<0.001),与对照组相比,松果体在FES患者中存在过早钙化。 结论 FES患者PC的发生率高于对照组,PC对FES早期临床诊断具有一定参考价值。Abstract: Objective To investigate the clinical diagnostic value of pineal calcification(PC) in patients with first episode schizophrenia(FES). Methods The brain CT image of 220 cases who were diagnosed FES clinically were retrospective analyzed to observe whether the pineal has calcification and to measure its size.Meanwhile,compared with the healthy matched groups(n=200).Patients were divided into two subgroups according to the clinical classification:paranoia and non-paranoia group.After statistical treatment:①Analysis of the differences of PC between the patients and the controls.②The differences of PC between paranoia and non-paranoia group of FES.③The differences of PC between the gender of male and female in patients and groups.④The correlation between the size of the PC and the age of the patients. Results ①There were 139 cases (male 71,female 68) with PC in the FES patients,the incidence of PC was 63.18%(139/220).However,there were only 90 cases(male 41,female 49) of PC in the control groups,the incidence was 45%(90/200).The incidence of PC in FES patients was significantly higher than that in control group (χ2=13.97,P=0.001).②There was no significant difference in the incidence of PC between paranoia and non-paranoia group of FES(χ2=0.28,P=0.60).③There was no significant difference in the incidence of PC between the gender of male and female(χ2=0.88,P=0.35;χ2=0.25,P=0.62)④The size of PC in FES patients increased with the age before the age of 18,and was positively correlated(r=0.96,P<0.001).The pineal gland was calcificated earlier in FES patients compared with the controls. Conclusion The incidence of PC in FES patients was higher than that in the control groups,PC has a certain reference value for the early clinical diagnosis of FES.
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Key words:
- First episode schizophrenia /
- Pineal /
- Calcification /
- Computed Tomography
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