16层螺旋CT平扫和增强扫描对急性脑出血临床结局预测价值的比较.docVIP

16层螺旋CT平扫和增强扫描对急性脑出血临床结局预测价值的比较 [摘要] 目的 比较16层螺旋CT平扫和增强扫描对急性脑出血临床结局的预测价值。 方法 选取本院2010年1月～2014年1月收治的急性脑出血患者200例为研究对象，根据影像学诊断方法不同分为两组，每组100例。观察组进行CT增强扫描，对照组行常规CT平扫，观察两组的影像学特征，比较两组的诊断价值。 结果 对照组预测脑出血增长的灵敏度为47.62%，特异度为84.81%，阴性预测值为85.90%，阳性预测值为45.45%，观察组的灵敏度为66.67%，特异度为92.41%，阴性预测值为91.25%，阳性预测值为70.0%，观察组的灵敏度、特异度均明显高于对照组，差异有统计学意义（P 0.05）。 结论 16层螺旋CT增强扫描对急性脑出血临床结局的预测价值高于常规平扫。 [关键词] 16层螺旋CT；增强扫描；急性脑出血；临床结局；预测 [中图分类号] R445.3 [文献标识码] A [文章编号] 1674-4721（2015）07（c）-0057-03 Comparision of predictive value of 16 slice spiral CT plain scan and enhanced scan for clinical outcome of acute cerebral hemorrhage CHEN Bi-zheng WU Xin-hong Department of Neurosurgery，Tasha People′s Hospital of Tasha Town in Dongguan City of Guangdong Province，Dongguan 523721，China [Abstract] Objective To compare predictive value of 16 slice spiral CT plain scan and enhanced scan for clinical outcome of acute cerebral hemorrhage. Methods 200 patients with acute cerebral hemorrhage treated in our hospital from January 2010 to January 2014 were selected as research objects，and they were divided into the two groups，and there were 100 cases in each group.Observation group was conducted with CT enhanced scan，while control group was given CT plain scan.Imaging characteristics of two groups was observed，and diagnosed value between two groups was compared. Results The sensitivity of was 47.62%，the specificity was 84.81%，the negative predictive value was 85.90%，the positive predictive value was 45.45% in control group while the sensitivity was 66.67%，the specificity was 92.41%，the negative predictive value was 91.25%，the positive predictive value was 70.0% in observation group，and sensitivity and specificity in observation group was obviously higher than that of control group，and there was a statistical difference （P 0.05）. Conclusion Predictive value of clinical outcome of acute cerebral hemorrhage of 16 slice spiral CT enhanced scan is higher than that of CT plain scan. [Key words] 16 slice spiral CT；Enhanced scan；