MRI与CT在老年多发性脑梗死诊断中对比分析.docVIP

MRI与CT在老年多发性脑梗死诊断中对比分析 　　doi：10.3969/j.issn.1007-614x.2014.16.68 　　摘 要 目的：对比MRI与CT检查在老年多发性脑梗死诊断中的应用效果。方法：对98例多发性脑梗死患者分别应用MRI及CT检查，观察并对比两种方法对脑梗死的总检出率，不同时间梗死的检出率，以及不同部位梗死异常的检出情况。结果：MRI的总检出率为92.56%，明显高于CT的54.08%（P0.01）。梗死24小时以内、梗死24～72小时的总检出率，MRI明显高于CT（P0.01）。MRI对脑干及小脑梗死的检出率明显高于CT检查（P0.05）。结论：针对老年多发性脑梗死患者，MRI的诊断效果明显优于CT检测。 　　关键词 MRI CT 老年 多发性脑梗死 　　Clinical comparison of MRI and CT in the diagnosis of the patients with multiple cerebral infarction in the elderly 　　Guo Yong 　　Department of Radiology，the Mental Disease Hospital of Jining City，Shandong 272051 　　Abstract Objective：To explore the application effect of MRI and CT in the diagnosis of the patients with multiple cerebral infarction in the elderly.Methods：98 cases with multiple cerebral infarction were examined by MRI and CT respectively.We observed and compared the total detection rate of cerebral infarction，the detection rate of different time infarction and the abnormal situation in different parts of infarction.Results：The total detection rate of MRI was 92.56%，and it was significantly higher than that of CT of 54.08%（P0.01）.For the total detection rate of infarction within 24 hours and infarction from 24 to 72 hours，MRI was significantly higher than that in CT（P0.01）.For the detection rate of brainstem and cerebellar infarction，MRI was significantly higher than that in CT（P0.05）.Conclusion：For the multiple cerebral infarction in elderly patients，the clinical diagnosis of MRI is better than CT. 　　Key words MRI；CT；The elderly；Multiple cerebral infarction 　　多发性脑梗死又被称为多发性脑软化，是指脑内出现较多缺血性软化梗死灶。该病常见于50～60岁男性患者，主要病因为动脉硬化及高血压等，除常见的感觉、语言障碍外，还可出现瘫痪，甚至痴呆[1，2]。临床治疗时若能明确脑梗死的大小、部位、程度等信息对疗效及预后具有重要的临床意义。目前，MRI及CT是脑梗死患者主要的检查方法，可为后续的治疗工作提供有效的影像学参考。为了对比上述两种方法对多发性脑梗死的诊断效果，我院对98例多发性脑梗死患者分别应用MRI及CT检查，为完善临床诊治方案提供有效的依据，现报告如下。 　　资料与方法 　　2012年1月-2014年1月收治多发性脑梗死者98例，临床表现为不同程度的感觉缺失、偏瘫、意识障碍，个别出现大小便失禁、昏迷等。98例患者中，男68例，女30例，年龄60～82岁，平均（67.3±3.9）岁；发病时间72小时22例；陈旧性脑梗死15例；梗死原因：动脉硬化47例，高血压40例，颅脑外伤11例。 　　排除标准：严重心、肾功能衰竭或障碍者；对碘制剂过敏者；躁动