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目的：根据ＣＴ扫描确定脑损伤的部位及大小，探讨康复后患者运动功能的恢复情况。方法：根据病例选择标准，从７８例中选出３５例，男２４例，女１１例；年龄１６～７０岁；左侧病变１８例，右侧１６例，双侧１例（特殊病例）；脑血肿１９例，脑梗塞或脑实质软化１６例。ＣＴ检查采用横断面扫描，厚度１ｃｍ。采用康复运动及功能性电刺激治疗。结果：额顶叶受损主要表现为手的精细运动及踝背屈功能障碍；基底节部分病变累及内囊中部主要表现为手指的精细运动恢复差，Ｂａｒｔｈｅｌ指数均达１００分；内囊大部分或完全受累，病变范围４３．６±２１．３ｃｍ３，Ｂａｒｔｈｅｌ指数为６９．２±７．３分，Ｂｒｕｎｎｓｔｒｏｍ上肢Ⅱ级２例，Ⅲ级５例，Ⅳ级５例，Ⅴ级１例；手Ⅱ级６例，Ⅲ级４例，Ⅳ级３例；下肢Ⅳ级１３例。结论：ＣＴ检查确定病变部位及大小，有助于判断患者康复后日常生活活动能力及运动功能恢复的预后。
OBJECTIVE: To determine the location and size of brain injury based on CT scan and explore the recovery of motor function after rehabilitation. Methods: According to the criteria of case selection, 35 cases were selected from 78 cases, including 24 males and 11 females; aged 16-70 years old; 18 cases of left lesion, 16 cases of right side and 1 case of bilateral ones (special cases); 19 cases of cerebral hematoma, cerebral infarction or brain softening in 16 cases. CT examination using a cross-sectional scan, the thickness of 1cm. Rehabilitation exercise and functional electrical stimulation. Results: The frontal lobe damage mainly manifested as fine hand movement and ankle dorsiflexion dysfunction; basal ganglia lesions involving the inner part of the main performance of the fine movement of the fingers poor recovery, Barthel index reached 100 points; most of the internal capsule Or completely affected, the range of lesions 43.6 ± 21.3cm3, Barthel index was 69.2 ± 7.3 points, Brunnstrom Ⅱ upper limbs in 2 cases, Ⅲ in 5 cases, Ⅳ in 5 cases, Ⅴ in 1 case; hand Ⅱ 6 cases, Ⅲ grade in 4 cases, Ⅳ grade in 3 cases; lower limb Ⅳ grade in 13 cases. Conclusion: CT examination to determine the location and size of the lesion can help to determine the prognosis of daily living activities and recovery of motor function after rehabilitation.