探讨双排螺旋CT与03TMRI用于脑梗塞早期的临床诊断效果.docVIP

探讨双排螺旋CT与0.3T MRI用于脑梗塞早期的临床诊断效 果 刘永顺李华 烟台市牟平整骨医院264100 目的对比评价双排螺旋CT与0.3TMRI用于脑梗塞早期诊断的临 床效果。方法将我院于2015年1月~2015年10月时间段内所收脑梗塞患者作 为研究对象，共50例。对所有患者临床资料进行回顾分析。本组50例患者分别 行双排螺旋CT以及0.3TMRI检查。以最终病理诊断结果为参考标准，就双排螺 旋CT、0.3TMRI对脑梗塞病灶部位的检出结果进行对比分析。结果以最终病 理诊断结果为参考标准，50例患者屮，8例患者病灶部位位于基底节，9例患者 病灶部位位于内囊，25例患者病灶部位位于额叶，3例患者病灶部位位于顶叶, 1例患者病灶部位位于脑干，2例患者病灶部位位于丘脑，2例患者病灶部位位 于小脑。0.3TMRI诊断方法下，对脑梗塞病灶各个部位的检出结果与最终病理诊 断结果的一致性均显著高于双排螺旋CT检出结果，组间数据经对比检验有统计 学差异（PV0.05）。结论相较于双排螺旋CT的而言，在0.3TMRI技术支持下， 对脑梗塞病灶部位的诊断效果好，具有分辨率高、图像清晰的优势，有利于脑梗 塞患者的及时治疗，临床应用及推广价值确切。 关键词 脑梗塞；双排螺旋CT； MRI；诊断价值 [AbstractlObjective: To compare and evaluate the double spiral CT 0.3T MRI for early diagnosis of cerebral infarction clinical effect. Methods: A hospital in January 2015 ? October 2015 period collected in fa ret i on patie nts for the study, a total of 50 cases. All clinical data were retrospectively analyzed. The group of 50 patients un derwent double spiral CT and 0.3 T MRI exami nation. In the final pathological diag nosis as the ref ere nee standard, the double spiral CT； 0.3T MRI for cerebral lesi on site detection results were analyzed. Results: The final pathologic diagnosis as the ref ere nee stan dard, the 50 patie nts, 8 patie nts the lesion site in the basal gan glia, 9 patients the lesion site is located within the capsule, 25 patients in the frontai lobe lesion site, 3 patients the lesion site on the top leaf, 1 patient in the brain stem lesion site, two patients the lesion site located thalamus, 2 patients cerebellar lesion site. Under 0.3T MRI diagnosis of cerebral lesions in various parts of the detection result consistent with the final pathology results were significantly higher than the double spiral CT detection result, the data between the two groups was statistically different (P via collation lt; 0.05). Conclusion: Compared to the double helical CT in terms of technical support in the 0.3T MRI, the diagnosis of cerebral lesion site effect, high resolution, image clarity advantages in favor of timely