CT和MRI对急性脑梗死早期诊断临床价值.docVIP

CT和MRI对急性脑梗死早期诊断临床价值 　　[摘要]目的 探讨急性脑梗死患者使用CT和MRI检查的优劣利弊，为早期临床诊断提供参考。方法 选择2015年9月～2016年10月在我院接受治疗的64例急性脑梗死患者作为研究对象，根据检查方法的不同，分为CT组和MRI组，各32例。CT组所有患者均进行CT检查，MRI组患者均行MRI检查。分析并比较两组的检查确诊率以及检查的病灶情况。结果 CT组检查出梗死病灶数量21例，确诊率为65.63%；MRI组检查出梗死病灶数量31例，确诊率为96.88%。CT检查时未检查出脑干梗死，MRI组检查出脑干梗死，且MRI组检查确诊率明显高于CT组，差异有统计学意义（P0.05）。MRI组检查梗死病灶平均面积较CT组检查明显更大，差异有统计学意义（P0.05）。结论 在急性脑梗死患者检查中选择MRI检查有较高的检查确诊率，可将病灶部位的大小形态清晰呈现，对患者早期确诊更有利，值得临床推广应用。 　　[关键词]CT；MRI；急性脑梗死；早期检查 　　[中图分类号] R816.1 [文献标识码] A [文章编号] 1674-4721（2017）03（a）-0147-03 　　[Abstract]Objective To study the advantages and disadvantages of CT and MRI in patients with acute cerebral infarction （ACI） in order to provide reference for early clinical diagnosis.Methods A total of 64 ACI patients treated in our hospital from September 2015 to October 2016 were selected as the research objects.According to different examining methods，they were evenly divided into CT group and MRI group，32 cases in each group.CT and MRI were performed in the corresponding groups.The definite diagnosis rate and the conditions of detected lesion were analyzed and compared in two groups.Results In the CT group，there were 21 cases detected with infarcted lesions，and the definite diagnosis rate was 65.63%；in the MRI group，the number of infarcted lesions detected was 31 cases accounting for 96.88% in the definite diagnosis rate.The brain stem infarction was not found in the CT group，but found in the CT group，which was displayed a statistical difference between two groups （P0.05）.The mean area of the infarcted lesion detected in the MRI group was significantly larger than that in the CT group，which was displayed a statistical difference （P0.05）.Conclusion For ACI patients，MRI examination has a higher accuracy compared with CT and can clearly display the size and shape of the lesion，which is more beneficial to the definite diagnosis at an early stage and is worthy of clinical application and promotion. 　　[Key words]CT；MRI；Acute cerebral infarction；Early examination