急性期脑梗死溶栓后出血性转化CT与MRI诊断价值分析.docVIP

急性期脑梗死溶栓后出血性转化CT与MRI诊断价值分析 　　[摘要] 目的 探究急性期脑梗死溶栓后出血性转化的CT与MRI诊断价值分析。 方法 整群选取该院2013年7月1日―2015年3月1日之间收治的58例脑梗死后脑出血转变的患者，分别进行MEI和CT检查，观察分析其检出率、病灶范围，形态以及特点。结果 MRI检查出55例脑梗死后脑出血转变后患者，其检出率为94.8%，CT检查出43例脑梗死后脑出血转变患者，其检出率为74.1%，两组结果差异有统计学意义（P0.05）；对于脑实质出血这一方面的显示，MRI所显示的出血范围要大于CT所显示的范围；MRI可检测出CT无法检测出的患者一些小出血点。结论 对于出血性脑梗死，MRI可清晰的显示出CT无法检测的出血性病灶的慢性期以及小出血点，还有较高的检出率，相比CT检查更加敏感，可以为早期诊脑出血性梗死提供有价值的信息，具有重要的临床意义。 　　[关键词] 脑梗死后出血性转变；CT；MRI；诊断价值 　　[中图分类号] R445 [文献标识码] A [文章编号] 1674-0742（2015）12（a）-0185-02 　　[Abstract] Objective To study the value of CT and MRI in the diagnosis of hemorrhagic transformation after cerebral infarction in the acute phase of cerebral infarction. Methods 58 cases of patients with cerebral hemorrhage after cerebral infarction admitted to our hospital from July 1， 2013 to March 1， 2015 were respectively given MEI and CT examination， the detection rate， lesion range， morphology and characteristics of the patients were observed and analyzed. Results 55 cases were cerebral hemorrhage after cerebral infarction by MRI examination and the detection rate was 94.8%， and 43 cases were cerebral hemorrhage after cerebral infarction by CT examination and the detection rate was 74.1%， the results of the two groups were statistically significant（P0.05）.In terms of the display of cerebral hemorrhage， the bleeding range shown by MRI is greater than the range of CT； MRI can detect a few small bleeding points that CT cant. Conclusion In terms of Hemorrhagic cerebral infarction， MRI can clearly display the chronic phase of hemorrhagic lesions and small bleeding points that CT cant with a higher detect rate， which is more sensitive than CT examination and can provide the valuable information for early diagnosis of cerebral hemorrhagic infarction with important clinic significance. 　　[Key words] Hemorrhagic transformation after cerebral infarction； CT； MRI； Diagnostic value 　　脑梗死后脑出血转变（HT）又名出血性脑梗死是指在脑梗死期间，由于缺血区血管重新恢复血流灌注，导致的梗死区内出现继发性出血，脑CT扫描或脑MRI检查显示在原有的低密度区内出现散在或局限性高密度影[1]。这种