MRI与CT检查在老年多发性脑梗死诊断中价值对比.docVIP

MRI与CT检查在老年多发性脑梗死诊断中价值对比 　　[摘要] 目的 分析和对比MRI与CT检查在老年多发性脑梗死诊断中的价值。方法 方便选择该院于2014年10月―2016年11月间收治的95例疑似老年多发性脑梗死患者为研究主体。划分为A组和B组，分别是49例和46例。A组给予MRI检查，B组给予CT检查。对比不同时间段的疾病检出率与各项检查指标情况。 结果 A组的总检出率为93.88%，B组为52.17%，其中，A组在脑梗死时间为24 h内（38.78%）、24～72 h（30.61%）的检出率均高于B组，对比差异有统计学意义（P0.05）。A组的病灶大小（8.42±1.21）mm2、检查时间（10.62±1.33）min和发病至检查时间（0.92±0.25）d均小于B组的（11.64±1.65）mm2、（18.67±1.66）min和（1.96±0.55）d，病灶数量（2.43±0.51）个多于B组（1.88±0.37）个，对比差异有统计学意义（P0.05）。 结论 与CT检查相比，MRI对老年多发性脑梗死的检查效果更佳，其可以更为精确的诊断出微小病灶，并缩短检出时间，值得推广。 　　[关键词] MRI；CT；老年多发性脑梗死；诊断价值 　　[中图分类号] R445 [文献标识码] A [文章编号] 1674-0742（2017）05（b）-0184-03 　　[Abstract] Objective To analyze the value of MRI and CT examination in diagnosis of senile multiple cerebral infarction. Methods Convenient selection 95 cases of senile patients suspected with multiple cerebral infarction admitted and treated in our hospital from October 2014 to November 2016 were selected and divided into two groups， the group A with 49 cases adopted the MRI examination， while the group B with 46 cases adopted the CT examination， and the disease test rate at different time phase and various examination indexes were compared. Results The total test rate in the group A and in the group B was respectively 93.88% and 52.17%， and the test rate of cerebral infarction in 24 h （38.78%）and between 24 h and 72 h（30.61%） in the group A was higher than that in the group B， and the difference between groups was statistically significant， P0.05）， and the lesion size， examination time and time from onset to examination time in the group A were fewer than those in the group B[（8.42±1.21）mm2， （10.62±1.33）min， （0.92±0.25）d vs （11.64±1.65）mm2， （18.67±1.66）min]， and the lesion number was more than that in the group B， [（2.43±0.51） vs （1.88±0.37）]， and the difference between groups was statistically significant（P0.05）. Conclusion The effect of MRI in diagnosis of senile multiple cerebral infarction is better than that of CT examination， which can more precisely diagnose the microcar