磁共振增强检查在结核性脑膜炎中的诊断价值
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摘要
目的探讨在结核性脑膜炎患者的临床诊断中进行磁共振增强扫描检查的诊断价值。方法选取在本院接受诊治的结核性脑膜炎患者共计28例作为研究对象,所有患者病情均得到临床明确诊断。患者入院之后均接受磁共振(MRI)平扫+增强扫描检查。对患者的MRI检查结果进行总结分析,总结结核性脑膜炎的MRI表现以及鉴别诊断方法。结果经过MRI增强扫描检查之后,结果显示,28例患者MRI平扫检查中共有13例患者的脑池脑膜有异常表现,表现为T1WI信号增强,T2WI高信号;在MRI增强扫描中,有27例患者的脑膜有明显的强化增厚表现,另有1例患者脑膜强化程度不明显。结论对于结核性脑膜炎患者,实施磁共振增强扫描检查,有助于提升此类疾病的诊断准确率,有助于疾病的早期诊断,早期治疗,更好地判断疗效及预后。
Objective To evaluate the diagnostic value of magnetic resonance enhanced scan(MRI) in the diagnosis of tuberculous meningitis. Methods 28 cases of tuberculous meningitis treated in our hospital were selected,all patients were clearly diagnosed clinically.After admission, all patients were examined by MRI enhanced scan.The results of MRI examination were summarized and analyzed.To summarize the MR manifestations and differential diagnosis of tuberculous meningitis. Results After MRI enhanced scanning, the results showed that 13 of the 28 patients with MRI showed abnormal meninges in the cisternal meninges, such as the enhancement of T1 WI signal and the high signal intensity of T2 WI. In MRI enhanced scan, the meningeal thickening was obvious in 27 cases, and the degree of meningeal enhancement was not obvious in 1 case. Conclusion For patients with tuberculous meningitis, enhanced magnetic resonance scan is helpful to improve the accuracy of diagnosis, early diagnosis and treatment of the disease, and to better judge the curative effect and prognosis.
Objective To evaluate the diagnostic value of magnetic resonance enhanced scan(MRI) in the diagnosis of tuberculous meningitis. Methods 28 cases of tuberculous meningitis treated in our hospital were selected,all patients were clearly diagnosed clinically.After admission, all patients were examined by MRI enhanced scan.The results of MRI examination were summarized and analyzed.To summarize the MR manifestations and differential diagnosis of tuberculous meningitis. Results After MRI enhanced scanning, the results showed that 13 of the 28 patients with MRI showed abnormal meninges in the cisternal meninges, such as the enhancement of T1 WI signal and the high signal intensity of T2 WI. In MRI enhanced scan, the meningeal thickening was obvious in 27 cases, and the degree of meningeal enhancement was not obvious in 1 case. Conclusion For patients with tuberculous meningitis, enhanced magnetic resonance scan is helpful to improve the accuracy of diagnosis, early diagnosis and treatment of the disease, and to better judge the curative effect and prognosis.
引文
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[2]刘媛,李倩,赵玉.结核性脑膜炎继发急性脑梗死临床及磁共振分析(32例)[J].医疗装备,2016,29(08):17-18.
[3]李桂霞.磁共振成像联合脑脊液分析在中枢神经系统感染鉴别诊断中的价值[J].临床和实验医学杂志,2016,15(09):910-913.
[4]徐树明,关晓力,杨宏,等.小儿结核性脑膜炎的临床表现及磁共振成像特征分析[J].中国药物与临床,2016,16(08):1118-1120.
[5]梁瑞霞,吴寒,白汉林.增强磁共振对血行播散型肺结核患者脑部病变的诊断价值[J].中国实用神经疾病杂志,2015,18(23):56-57.
[6]李军霞,赵青,孟艺哲,等.结核性脑膜炎临床和影像学特征与临床分期的相关性分析[J].河北医科大学学报,2018,39(07):748-751,756.
[7]张全禄,张翰弘.磁共振成像(MRI)对血行播散性肺结核并发结核性脑膜炎的临床诊断价值[J].世界最新医学信息文摘,2018,18(67):155.
[8]李国勤,黄继良,陈炫幸,等.结核性脑膜炎的多层螺旋CT及MRI影像特点及诊断价值分析[J].中国CT和MRI杂志,2017,15(04):17-20.
[9]张晓英,石晓明.结核性脑膜炎的CT和MRI诊断及对比分析的认识[J].临床医药文献电子杂志,2017,4(32):6257,6259.
[10]孙莉红,莫锋,邸静,等.分析结核性脑膜炎的MRI和CT影像表现[J].中国现代药物应用,2014,8(12):68.