双排螺旋CT平扫在腔隙性脑梗塞影像诊断中的价值分析.docVIP

精品论文 参考文献 双排螺旋CT平扫在腔隙性脑梗塞影像诊断中的价值分析 盐城市滨海县康达医院CT室 224500 摘要：目的：分析双排螺旋CT平扫在腔隙性脑梗塞影像诊断中的价值。方法：对我院2013年1月-2014年12月60例腔隙性脑梗塞患者的CT影像存图及临床资料进行回顾性分析。结果：60例患者中，有高血压病史43例，占71.67%，单纯性运动性偏瘫31例，感觉性卒中12例，共济失调性偏瘫6例，构音障碍11例。CT显示病灶大小在5-20mm之间，平均14.23mm，病灶位于内囊13例、丘脑17例、脑干5例、豆状核8例、尾状核12例，其他脑叶深部5例，多发者31例，单发者29例，病灶形态为圆形或卵圆形，CT值为10-30HU，平均为18HU。占位效应轻或无占位效应，随访扫描显示腔隙性脑梗塞同侧脑室或外侧裂池可扩大，中线结构也可以轻度向同侧移位。所有患者的临床与影像表现基本平行。结论：双排螺旋CT平扫多腔隙性脑梗塞的早诊早治具有较高的临床实用价值，值得在基层医院的临床上推广运用。 关键词：双排螺旋CT；平扫；腔隙性脑梗塞 [Abstract]Objective：To analyze the double spiral CT scan imaging in the diagnosis of lacunar infarction value.Methods：The hospital in January 2013 - December 2014 analysis of 60 cases of lacunar infarction in patients with CT image memory map and clinical data were retrospectively.Results：60 patients with a history of hypertension 43 cases，accounting for 71.67%，31 cases of simple movement paralysis，sensory stroke 12 cases，six cases of hemiplegia ataxia，dysarthria 11 cases.CT showed lesions between 5-20mm in size，average 14.23mm，lesions in the internal capsule 13 cases，17 cases thalamus，brainstem 5 cases，8 cases of lenticular nucleus，caudate nucleus in 12 cases，the other five cases of deep lobe，Multiple 31 cases，29 cases of single lesions circular or oval shape，CT value 10-30HU，an average of 18HU.Mass effect of light or no mass effect，follow-up scan showed lacunar infarction with the lateral ventricle or lateral fissure pool can be expanded，midline shift to the same side may be mild.Clinical and imaging findings in all patients are substantially parallel.Conclusion：The early diagnosis and double spiral CT scan multiple lacunar infarction early treatment with high clinical value，worthy of clinical application to promote grass-roots hospitals. [Key words]double spiral CT；scan；lacunar infarction 腔隙性脑梗塞是脑深部穿支小动脉闭塞所致的微小梗塞，其直径一般在5-15mm，好发于内囊丘脑、基底节区、大脑各叶的深部、脑干等部位，常常多发[1]。相关文献报道[2]，腔隙性脑梗塞的直接原因为高血压。临床上尚有少数患者无高血压病史，有学者认为可能是脑动脉主干粥样硬化阻塞深动脉起始处或微栓塞的结果。腔隙性脑梗塞一般起病缓慢，临床表现一些特定的症状和体征，但由于腔隙性脑梗塞病灶微小，仅