MRV和MRI在脑静脉血栓早期诊断中应用价值.docVIP

MRV和MRI在脑静脉血栓早期诊断中应用价值 　　[摘要] 目的 对比分析MRV和MRI在脑静脉血栓早期诊断中的应用价值。 方法 选取2011年3月～2013年6月本院收治的32例脑静脉血栓早期患者，将其随机分为实验组和对照组，对照组采用3.0T飞利浦MRI机诊断，实验组采用2D-PC静脉成像行MRV诊断，比较两组的诊断率。 结果 32例患者经MRV和MRI诊断出横窦血栓15例，乙状窦血栓7例，上矢状窦血栓6例，直窦血栓4例；对照组16例患者中经MRI SE序列扫描确诊12例，4例经MRI平扫出现漏诊，后经MRV确诊，确诊率为75%；实验组16例患者中经MRV确诊16例，确诊率为100%。两组确诊率比较，差异有统计学意义（P0.05） 。 结论 与MRI诊断比较，MRV诊断早期脑静脉血栓具有更高的准确率，是无创、理想的诊断方式，两者联用可作为诊断早期脑静脉血栓的理想方法，值得在临床中推广应用。 　　[关键词] MRI；MRV；脑静脉血栓；应用价值 　　[中图分类号] R445.2 [文献标识码] A [文章编号] 1674-4721（2014）04（b）-0098-03 　　[Abstract] Objective To compare the application value of MRV and MRI in the early diagnosis of cerebral venous thrombosis. Methods 32 cases with early cerebral venous thrombosis in our hospital from March 2011 to June 2013 were selected for this study，and all the patients were divided into experimental group and control group at randomly.The control group was diagnosed by Philips 3.0T MRI machine and the experimental group was diagnosed by 2D-PC MRV.The diagnosis rates between the two groups was compared. Results Among the 32 patients diagnosed by MRI and MRV，15 cases were diagnosed with transverse sinus thrombosis，7 cases with sigmoid sinus thrombosis，6 cases with superior sagittal sinus thrombosis and 4 cases with straight sinus thrombosis.12 cases in control group of 16 patients in early cerebral venous thrombosis formation were diagnosed by MRI SE sequence scans with confirmed cerebral venous thrombosis.4 patients with acute early cerebral venous thrombosis were missed by MRI scan and diagnosed by MRV later，the diagnosis rate of MRI was 75%.16 cases in experimental group of 16 patients in early cerebral venous thrombosis formation were diagnosed by MRV and the diagnosis rate was 100.0%.The diagnosis rates of the two groups were significantly different（P0.05）. Conclusion Compared to MRI diagnosis，the diagnosis rate of MRV in early diagnosis of cerebral venous thrombosis is higher，thus MRV is a noninvasive and ideal clinical method.MRV associated with MRI can be used as the