目的 探讨CT与MRI联合在诊断 右侧顶颞叶脑脓肿的临床价值。方法 回 顾性分析2014年3月至2016年3月经我治疗 的45例右侧顶颞叶脑脓肿患者的CT平扫和 MRI影像学资料及临床资料病例。结果 通 过CT与MRI联合诊断，45例右侧顶颞叶脑 脓肿患者共发育52个脓肿，32例患者处在 初期脑炎，12例在晚期脑炎，1例为早期 包膜。CT扫描确诊出42例病患，发现脓肿 48个；MRI扫描确诊出44例病患，发现脓 肿49个。结论 CT与MRI联合，能有效弥补 互相在诊断脑脓肿中的不足，两者联合能 100%的确诊脑脓肿，有效的减少患者漏诊 的发生，并且能精准判断脓肿时期，为右 侧顶颞叶脑脓肿的临床诊断及后期治疗措 施提供科学依据，具有重要的诊断价值。

Objective To investigate the clinical value of CT and MRI in the diagnosis of the right top temporal lobe brain abscess. Methods To retrospectively analyze clinical and CT and MRI data of 45 patients of the top temporal lobe brain abscess from March 2014 to March 2016 in our hospital. Results Through the diagnosis of CT and MRI, there are 52 abscesses among 45 patients. Thirty-two patients are in the early stage of encephalitis, 12 patients are in the late stage of encephalitis and 1 patient is of early film. The CT scan confirmed 42 patients and found 48 abscesses, the MRI scan confirmed 44 patients and found 49 abscess. Conclusion CT and MRI can effectively compensate for each other in the diagnosis of brain abscess deficiencies, and the diagnosis rate can be 100% by their combination. It effectively reduces the incidence of misdiagnosis and precisely determines abscesses period, which provides scientific basis for the diagnosis and treatment of right top temporal lobe brain abscess and is of great clinical value.