目的 研究磁共振成象技术(MRI) 多序列扫描在小儿脑瘫康复治疗期间的应 用价值。方法 选取我院2015年9月至2016 年5月65例小儿脑瘫患者为研究对象，所 有患儿均进行MRI多序列扫描，以小儿脑 瘫患儿康复治疗后的康复程度为参考标 准，计算MRI检查的灵敏度、特异度、阳 性预测值、阴性预测值、准确性、Kappa 值。结果 MRI检查的灵敏度为87.9%，特 异度为93.75%，阳性预测值为93.5%，阴 性预测值为88.2%，诊断符合率为90.8%， Kappa值为0.82。结论 小儿脑瘫患儿的病 灶改善情况和患儿康复程度存在一定的相 关性。MRI多序列扫描对小儿脑瘫患儿的 病情诊断、治疗指导、预后评估具有重要 价值。

Objective To study the application value of magnetic resonance imaging (MRI) in the rehabilitation therapy of children with cerebral palsy. Methods Sixty-five children with cerebral palsy admitted in our hospital between September 2015 to May 2016 were studied. All the subjects underwent MRI multi-sequence scanning. With the rehabilitation degree of children with cerebral palsy after rehabilitation therapy as the reference standard, the sensitivity, specificity, positive predictive value, negative predictive value, accuracy and Kappa value of MRI examination were calculated. Results The sensitivity, specificity, positive predictive value, negative predictive value, accuracy and Kappa value of MRI examination were 87.9%, 93.75%, 93.5%, 88.2%, 90.8% and 0.82 respectively. Conclusion There is certain correlation between the relief of lesions and the rehabilitation degree of children with cerebral palsy. MRI multi-sequence scan is of great value in diagnosis, treatment and evaluation of prognosis.