摘要
目的 探讨MRI扫描在急性脑干梗死诊断以及预后分析中应用价值。方法 回顾性分析2014年1月—2016年1月接收诊治的36例急性脑干梗死患者的所有临床资料,综合分析急性脑干梗死的MRI扫描影像特征及病理特点,以及MRI扫描在急性脑干梗死预后分析中的应用。结果 36例急性脑干梗死患者经MRI检查并经病理学检查证实其中梗死单发患者29例,梗死多发患者7例。一共发现梗死灶43个,梗死灶直径在4~90（52±31）mm,形态主要为圆形27个。MRI扫描显示22例为T1WI低或稍低信号,T2WI高信号特征;11例为T1WI等信号特征,T2WI高信号特征;3例在T1WI及T2WI均为混杂不均匀信号。结论 MRI检查可明确诊断急性脑干梗死患者梗死的个数、位置、大小和形态特征,同时可对患者进行预后分析。
Objective To investigate application value of magnetic resonance imaging（ MRI） in diagnosis and prognosis of acute brain stem infarction. Methods Clinical data of 36 patients with acute brain stem infarction during January 2014 and January 2016 was retrospectively analyzed. MRI imaging and pathological features,and application of MRI in prognosis analysis of acute brain stem infarction were comprehensively analyzed. Results Among 36 patients with acute brainstem infarction,there were 29 patients with single infarction,7 patients with multiple infarctions by MRI and pathological examinations. A total of 43 infractions were found. The infarction diameter was 4-90（ 52 ± 31） mm,and the main shape was circle. MRI scan showed that there were 22 patients with low or slightly low T1 WI signal,and T2 WI high signal features,11 patients with isointensity T1 WI and high T2 WI signal features,and 3 patients with confounding and inequable T1 WI and T2 WI signal features. Conclusion MRI scanning can clearly display the number,location,size and shape of infarction for patients with acute brain stem infarction,and it can also analyze prognosis of the patients.
出处
《解放军医药杂志》
CAS
2016年第12期106-108,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
陕西省自然科学基金项目(2013002)
关键词
脑干梗死
磁共振成像
预后
诊断
Brain stem infarction
Magnetic resonance imaging
Prognosis
Diagnosis
