MSCT与MRI对发病≤24小时脑梗塞患者的应用评价
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摘要
目的:分析多层螺旋CT(MSCT)与核磁共振成像(MRI)在发病≤24h脑梗塞患者的应用价值。方法:选取我院收治的脑梗塞患者48例。发病时间<12h 11例,12～24h 21例,24～72h 10例,>72h 6例;缺血性脑梗塞13例,腔隙性脑梗塞24例,出血性脑梗塞11例,所有患者均行MSCT、MRI检查。统计对比MSCT、MRI对各类型及不同发病时间脑梗塞检出情况。结果:MRI对缺血性脑梗塞、腔隙性脑梗塞及脑梗塞总检出率较MSCT高(P<0.05);MRI对出血性脑梗塞检出率与MSCT相比,差异无统计学意义(P>0.05);MRI对发病<12h、12～24h脑梗塞检出率较MSCT高(P<0.05);MRI对发病24～72h、>72h脑梗塞检出率与MSCT相比,差异无统计学意义(P>0.05)。结论:与MSCT相比,MRI对发病≤24h脑梗塞及缺血性脑梗塞、腔隙性脑梗塞检出率较高,可指导临床及早采取有针对性治疗措施。
Objective:To investigate the application value of multi slice spiral CT(MSCT) and magnetic resonance imaging(MRI) in patients with cerebral infarction no more than 24 hours after onset.Methods:48 cases of cerebral infarction were selected in our hospital. The onset time was less than 12 h in 11 cases, 12 to 24 h in 21 cases, 24 to 72 h in 10 cases, more than 72 h in 6 cases. There were 13 cases of ischemic cerebral infarction, 24 cases of lacunar infarction, and 11 cases of hemorrhagic cerebral infarction. All patients were examined by MSCT and MRI. The detection of cerebral infarction of MSCT and MRI for different types and different time of onset was statistically recorded.Results:The total detection rate of MRI in ischemic cerebral infarction, lacunar infarction and cerebral infarction was higher than that of MSCT(P<0.05). There was insignificant difference in the detection rate of hemorrhagic cerebral infarction between MRI and MSCT(P>0.05). The detection rate of cerebral infarction of patients with the onset time <12 h and during 12～24 h by MRI was higher than that by MSCT(P<0.05). There was insignificant difference in the detection rate of cerebral infarction of patients with the onset time during 24 ～ 72 h and > 72 h between MRI and MSCT(P>0.05).Conclusion:Compared with MSCT, MRI has higher detection rate for cerebral infarction, ischemic cerebral infarction and lacunar infarction of patients with the onset time no more than 24 hours, which can guide clinical treatment as early as possible.
Objective:To investigate the application value of multi slice spiral CT(MSCT) and magnetic resonance imaging(MRI) in patients with cerebral infarction no more than 24 hours after onset.Methods:48 cases of cerebral infarction were selected in our hospital. The onset time was less than 12 h in 11 cases, 12 to 24 h in 21 cases, 24 to 72 h in 10 cases, more than 72 h in 6 cases. There were 13 cases of ischemic cerebral infarction, 24 cases of lacunar infarction, and 11 cases of hemorrhagic cerebral infarction. All patients were examined by MSCT and MRI. The detection of cerebral infarction of MSCT and MRI for different types and different time of onset was statistically recorded.Results:The total detection rate of MRI in ischemic cerebral infarction, lacunar infarction and cerebral infarction was higher than that of MSCT(P<0.05). There was insignificant difference in the detection rate of hemorrhagic cerebral infarction between MRI and MSCT(P>0.05). The detection rate of cerebral infarction of patients with the onset time <12 h and during 12～24 h by MRI was higher than that by MSCT(P<0.05). There was insignificant difference in the detection rate of cerebral infarction of patients with the onset time during 24 ～ 72 h and > 72 h between MRI and MSCT(P>0.05).Conclusion:Compared with MSCT, MRI has higher detection rate for cerebral infarction, ischemic cerebral infarction and lacunar infarction of patients with the onset time no more than 24 hours, which can guide clinical treatment as early as possible.
引文
1 赵仕懂,丘武应,朱志铿,等.MSCT与MRI检查在脑梗死患者临床诊断价值[J].现代医用影像学,2017,26(5):1210-1212.
2 饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007:31.
3 乔静,卢泽民.1.5T超导磁共振和螺旋CT在常见脑血管相关疾病诊断中的应用[J].医学理论与实践,2016,29(20):3530-3532.
4 葛海兰.多层螺旋CT对超急性期大面积脑梗死的诊断价值[J].宁夏医学杂志,2015,37(1):71-72.
5 章辉庆,陈腾飞,邱晓晖.MSCT及3.0TMRI诊断可逆性后部白质脑病综合征的临床意义[J].蚌埠医学院学报,2016,41(5):655-658.
2 饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007:31.
3 乔静,卢泽民.1.5T超导磁共振和螺旋CT在常见脑血管相关疾病诊断中的应用[J].医学理论与实践,2016,29(20):3530-3532.
4 葛海兰.多层螺旋CT对超急性期大面积脑梗死的诊断价值[J].宁夏医学杂志,2015,37(1):71-72.
5 章辉庆,陈腾飞,邱晓晖.MSCT及3.0TMRI诊断可逆性后部白质脑病综合征的临床意义[J].蚌埠医学院学报,2016,41(5):655-658.