摘要
目的研究短暂性脑缺血发作采 用磁共振弥散成像诊断的临床价值。方法 选取40例短暂性脑缺血患者按照随机对照 原则分成两组,每组20例,行磁共振弥散 成像检查作为研究组,行常规磁共振成像 检查作为对照组,观察比较两组的诊断结 果。结果 研究组患者缓解期检出阳性率 (90.00%)、发作期检出阳性率(95.00%) 均高于对照组(70.00%、80.00%),P <0.05,组间差异显著。研究组检出病灶 数目较对照组多,病灶直径较对照组长, 组间比较P<0.05,差异显著。结论 磁共 振弥散成像对短暂性脑缺血发作的确诊率 明显高于常规磁共振,对患者颅内受损部 位的具体情况反馈准确性高,临床应用前 景广阔。
Objective This Paper is to study clinical value of magnetic resonance imaging diagnosis applied in transient ischemic attack. Methods Forty patients with transient ischemic attack were divided into two groups with 20 cases in each group according to the principle of randomized control, patients in the research group were subject to magnetic resonance diffusion imaging, patients in the control group were subject to conventional magnetic resonance imaging, and diagnosis results of patients in two groups were compared. Results The positive detection rate (90.00%) of patients in the research group during catabasis period (95.00%) were higher than those of patients in the control group (70.00%, 80.00%) (P<0.05), and the inter-group difference was significant. The detected lesions of patients in the research group were more than those of patients in the control group, the diameter of lesion in the research group were longer than that of patients in the control group, the inter-group comparison satisfied P<0.05, and the differences were significant. Conclusion Accurate diagnosis rate of magnetic resonance imaging is significantly higher than conventional magnetic resonance in diagnosis of transient ischemic attack, the accuracy of specifically damaged intracranial part is high, and the prospect of clinical application is wide.
【关键词】短暂性脑缺血;磁共振弥散成像;磁共振成像
【中图分类号】R445.2;R743
【文献标识码】A
【DOI】 10.3969/j.issn.1672- 5131.2015.10.007
前言
短暂性脑缺血是因为椎-基底动脉系统、颈动脉发生暂时性供血不 足,导致大脑发生局部缺血,进而引发可逆性、短暂性的神经功能障 碍。此病好发于35~65岁的男性,发病急骤、反复性强,临床资料显 示约30.0%的短暂性脑缺血患者会发生脑梗死,故早期诊断是预防及治 疗患者病情发展的重要方式[1-2]。但传统CT、MRI检查对短暂性脑缺血 发作的诊断阳性率低。目前兴起的磁共振弥散成像(DWI)检查对短暂性 脑缺血患者部分阳性病灶的显示清晰,可为临床诊断提供科学合理依 据[3]。本次研究对38例短暂性脑缺血患者行磁共振弥散成像检查并与 38例行常规磁共振检查的患者进行对比,现报道如下。
中国CT和MRI杂志
第13卷, 第 10 期
2017年10月
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