出血性转化诊断中颅脑T和磁敏感加权成像的效果比较.docVIP

出血性转化诊断中颅脑CT和磁敏感加权成像的效果比较 DOI： 10.16662/j.cnki.1674-0742.2017.07.178 ［ ］目的探讨颅脑CT和磁敏感加权成像在各 型出血性转化中的临床诊断价值。方法方便收集 2012年2月一2016年10月该院收治符合纳入标准和 排除标准的脑梗死患者126例，对颅脑CT和磁敏感加 权成像的影像资料进行回顾性分析。结果在HI1型患 者中，颅脑CT出血灶的检出数量为27个，检出率 19.05%, SWI检查的出血灶检出数量为73个，检出率 为42.86°/。，颅脑CT在出血灶检出数量和检出率上均 明显低于SWI检查差异有统计学意义(P0.05)。结论 磁敏感加权成像可敏感的检查HT的早期微小出血灶， 有较高的临床诊断价值，值得推广和应用。 ［关键词］出血性转化；颅脑CT;磁敏感加权成像; 临床诊断 ［ ］R445 ［ ］A ［ ］ 1674-0742 (2017) 03 (a) -0178-03 Comparison of Effect of Brain CT and Susceptibility Weighted Imaging in Hemorrhagic Transformation Diagnosis LI Yan-bing Department of Radiology， Tengnan Hospital of Zaozhuang Mining Group, Zaozhuang, Shandong Province， 277606 China [Abstract] Objective To discuss the clinical diagnosis value of brain CT and susceptibility weighted imaging in various-type hemorrhagic transformations. Methods Convenient selection 126 cases of patients with cerebral infarction meeting the included standards and excluded standards in our hospital from February 2012 to October 2016 were selected and the imaging data of brain CT and susceptibility weighted imaging were retrospectively analyzed. Results For HIl-type patients, the detection number and detection rate of hemorrhagic foci of the brain CT were obviously lower than the SWI examination (27，19.05% vs 73， 42.86%)，the difference was statistically sighificant (P0.05) . Conclusion SWI can sensitively test the HT early mini hemorrhagic foci with higher clinical diagnosis value, which is worth promotion and application. [Key words] Hemorrhagic transformation； Brain CT； Hemorrhagic transformation； Clinical diagnosis 出血性？D 化(hemorrhagic transformation， HT) 是脑梗死患者中常见的并发症，在急性缺血性脑梗死 患者中发病率最高，有着极高的病死率和致残率，因 而受到越来越多的临床重视［1］。由于通过临床症状难 以明确诊断HT，需及时和快速的影像学检查加以确诊 临床研宄表明HT患者预后情况与是否得到及时诊治 密切相关，如何及时并准确的检出HT成为影像诊断 的关注热点［2-3］。目前临床上对HT影像学检查主要为 颅脑CT扫描，最近有大量的临床研究报道磁敏感加权 成像(susceptibility weighted imaging, SWI)在脑微 出血、HT、颅内出血中均有较高的检出率而受到越来 越多的临床应用［4-6］。笔者方便收集2012年2月一 2016年10月该院收治的脑梗死患者126例的影像学 资料，对颅脑CT和SWI在不同分型HT出血灶数量和 检出率进行对比，现报道如下。 1资