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CT与MRI对脑梗死的诊断价值分析

作者:上官建伟

所属单位:郑州大学附属郑州中心医院放射科(河南 郑州 450007)

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摘要

目的探讨CT与MRI对脑梗死的 诊断价值对比。方法 选取本院脑梗死患 者76例作为研究对象,均行CT和MRI诊 断,并分析检查结果。结果 本组76例 脑梗死患者,MRI对脑梗死病灶的检出率 为94.74%显著高于CT64.47%,检出病灶 数较CT多,差异显著(P<0.05);MRI对 <6h、6-24h时间段脑梗死的检出率分别 为90.03%、97.22%均显著高于CT,差异显 著(P<0.05)。结论 与CT相比,MRI对早期 脑梗死的检出率较高。

Objective To investigate the value of CT and MRI in the diagnosis of cerebral infarction. Methods 76 patients with cerebral infarction in the hospital were selected as the research objects. All the objects received CT and MRI diagnosis and the results were analyzed. Results Among the 76 cases of cerebral infarction patients, the detection rate of MRI for cerebral infarction lesions was 94.74% which was significantly higher than 64.47% of CT and the number of detected lesions was higher than that of CT. The differences were significant (P<0.05). The detection rates of MRI for cerebral infarction during the period that was shorter than 6h and during 6 to 24h were 90.03% and 97.22%, respectively which were significantly higher than those of CT. The difference was significant (P<0.05). Conclusion Compared with CT, the detection rate of MRI for early cerebral infarction is higher.

【关键词】脑梗死;CT;MRI;发病部位;准确率

【中图分类号】R651.1

【文献标识码】A

【DOI】10.3969/j.issn.1672-5131.2015.10.003

前言

脑梗死是临床较为常见的脑血管疾病,近年来该病发病率呈明显 上升趋势,占脑血管疾病的75%左右[1]。脑梗死的发病与动脉粥样硬化 有密切的关系,是由各种原因导致的脑部供血不足,脑组织局部缺血 缺氧诱发疾病,致死率和致残率较高。临床研究表明,脑梗死患者发 病后3h内为静脉溶栓最佳时期,6h内为动脉溶栓最佳时间窗,可减少 神经功能损伤程度。因此,临床应重视对早期脑梗死的诊断。有研究 表明,脑梗死患者发病早期,CT、MRI影像学图像可表现异常,便于临 床了解患者发病情况,早期干预治疗。对此,本文探讨了CT、MRI诊断 早期脑梗死的中应用情况,探讨其临床应用价值,现报道如下。