磁共振弥散加权成像鉴别脑脓肿与脑肿瘤坏死临床研究.docVIP

精品论文 参考文献 磁共振弥散加权成像鉴别脑脓肿与脑肿瘤坏死临床研究 （商丘市第一人民医院放射科 河南商丘 476100） [摘要] 目的：探究磁共振弥散加权成像（DWI）鉴别脑脓肿与脑肿瘤坏死的临床效果。方法：选择2015年2月至2016年4月就诊于商丘市第一人民医院放射科的脑脓肿29例、脑肿瘤坏死31例患者，所有患者均进行DWI和常规MRI检查。比较DWI和常规MRI对脑肿瘤、脑脓肿诊断结果，记录脑脓肿与脑肿瘤坏死液化区域弥散系数值。结果：DWI诊断的特异性和敏感性均明显高于常规MRI诊断，差异显著（P＜0.05）；脑肿瘤坏死和脑脓肿在对侧脑实质、脓肿或囊变坏死、脓液及脑脊液在液化区域弥散系数值比较，差异显著(P＜0.05)。结论：DWI在鉴别脑肿瘤坏死和脑脓肿等方面具有很高的特异性和敏感性，能提高诊断正确率，值得临床推广。 [关键词] DWI；脑脓肿；脑肿瘤坏死；鉴别 Magnetic resonance diffusion weighted imaging to identify brain abscesses with brain tumor necrosis clinical research Sun Bing (shangqiu first peoples hospital radiology department Henan shangqiu, 476100) [abstract] objective: to explore the magnetic resonance diffusion weighted imaging (DWI) can identify the clinical effect of brain abscesses with brain tumor necrosis. Methods: in February 2015 to April 2016 in shangqiu first peoples hospital radiology department of brain abscess in 29 cases, 31 cases with brain tumor necrosis, DWI and conventional MRI can all of the patients. Comparison of DWI and conventional MRI of brain tumor, brain abscess can diagnosis, recorded brain abscesses with brain tumor necrosis liquefied area dispersion coefficient value. Results: the specificity and sensitivity of DWI diagnosis can were significantly higher than that of conventional MRI diagnosis, significant difference (P lt; 0.05); Brain tumor necrosis and brain abscess in the contralateral parenchymal necrosis, pus, abscess, or sac and cerebrospinal fluid in the liquefied area dispersion coefficient value comparison, significant difference (P lt; 0.05). Conclusion: DWI in such aspects as identification of brain tumor necrosis and brain abscesses can have high specificity and sensitivity, can improve the diagnostic accuracy, worth clinical promotion. [key words] DWI; can Brain abscess; Brain tumor necrosis; To identify 脑脓肿是一种临床常见的中枢神经系统疾病[1]。由于脑肿瘤坏死和脑脓肿在CT、MRI检查时均有环状强化的表现，给临床鉴别带来了跟大的困难，极易造成误诊[2]。而两者的治疗方案和预后均有很大的不同，误诊不仅耽误患者手术最佳时机，还会导致不必要的手术。因此，准确的鉴别和诊断脑肿瘤坏死和脑脓肿具有十分重要的临床意义[3]。DWI是在患者体内进行无