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·头颈疾病·

颅骨内板下硬膜下出血CT与MRI对比研究

作者:周俊杰 方晓龙 袁 彪 郑 鹏

所属单位:湖南省长沙市中心医院放射科 (湖南 长沙 410008)

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摘要

目的 探讨分析CT与MRI两种检查在颅骨内板下硬膜下出血诊断中的价值。方法 回顾分析我院2011年6-2015年9月经 临床证实的176例颅骨内板下硬膜下出血CT与MRI表现,按出血厚度将患者分为三组:5mm以下组,5-10mm组,10mm 以上组,比较CT与MRI两种检查结果。结果 对5mm以下组少量硬膜下出血的显示MRI明显优于CT;5-10mm组中硬膜下 出血的显示MRI略优于CT;10mm以上组硬膜下出血的显示MRI与CT一致。结论 MRI对颅骨内板下硬膜下出血的显示率 极高,尤其是对等密度的、厚度越小的硬膜下出血的显示MRI优势越明显,可作为颅骨内板下硬膜下出血诊断的重 要标准。 

Objective To discuss and analyze the CT and MRI in the diagnosis value of under the skull plate subdural hemorrhage. Methods The CT and MRI characteristics of the 176 cases, recruited from our hospital from June 2011 to September 2015, with clinically confirmed under the skull plate subdural hemorrhage were reviewed. According to the thickness of bleeding divided the patients into three groups: below 5mm group, 5-10mm group, more than 10mm group. Than compared the two results in CT and MRI. Results A small amount of subdural hemorrhage in below 5mm group showed that MRI is superior to CT. Subdural hemorrhage in 5-10mm group showed that MRI is slightly superior to CT. More than 10mm group showed that MRI and CT are basically identical. Conclusion The research showed the advantage of MRI in the diagnosis of under the skull plate subdural hemorrhage, especially for the peer density and smaller thickness of subdural hemorrhage. So MRI can be used as an important standard in under the skull plate subdural hemorrhage diagnosed.

【关键词】硬膜下出血;CT;MRI;厚度;显示率

【中图分类号】R651.1;R445

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2016.02.002

前言

 颅骨内板下硬膜下出血是临床最常见的颅内出 血之一。目前在硬膜下出血的临床诊断中CT与MRI均 已广泛应用。普遍认为CT具有扫描速度快,对出血 显示敏感等优点,MRI存在扫描速度慢,对超急性出 血不敏感等缺点[1-2],因此临床工作中CT一般作为硬 膜下出血的首选检查方式。笔者收集了我院2011年 6~2015年9月一批经临床证实,临床资料完整且既行 CT又行MRI检查的颅骨内板下硬膜下出血患者资料进 行对比分析,探讨两种检查对硬膜下出血的显示差 异,现报告如下。