摘要
目的对比分析CT和MRI对腔隙性脑梗死(lacunar infarction,LAC)的诊断价值。方法选择2012年1月至2014年7月在我院神经内科接受治疗的LAC病患178例。将MRI检查结果记为观察组,相应的CT检查记为对照组。对比两组检查的病灶部位、大小情况,并对1个月后复检病患进行MRI检查同时记录病灶情况。结果MRI共检出1770个病灶,CT组共检出420个病灶。MRI检出的总数是CT检出总数的4.2倍。并且MRI组对于病灶≤5mm的检出率明显高于CT组而6-15mm的检出率相对更低。最后对复检病患根据首次检查大小分组发现病灶呈现明显的缩小,其中最为显著的是≥11mm的病患,差异均有统计学意义(P<0.05)。结论 LAC病患在首次检查病灶出现的频率很高,多为≤5mm。其中MRI检出病灶的总数明显高于CT检出总数,且MRI对≤5mm病灶检出有明显的优势。而在发病初期出现水肿情况,需要准确、及时的诊断保证后期治疗。因此,MRI更具有临床应用价值。
Objective To explore the computer tomography （CT） and magnetic res（nance imaging （MRI） of lactmar infarction （LAC） the diagnosis results, and analyze the diagnostic value of CT. Methods From January 2012 to July 2014 treated in our hospital department of internal medicine nerve with 178 cases of LAC patients. With MRI was as the obsmwation group, CT checked the corresponding note was for the control group. The location, the size of the examination of two groups were compared, and 1 months alter the re examination of patients were examined by MRI and recorded lesions..RcdlX MRI was detected in 1770 lesions, 420 lesions were found in CT group. Total was CT MRI detectable detectable in total 4.2 times. And group MRI tier lesions than 5mm detection rate was significantly higher than that of group CT and 6-15mm detection rate was relatively lower. At the end of the re examination of patients according to the first check size packet found lesions dmwed obvious reduction, the most significant one was the aged patients with 11mm. The differences were statistically significant （P〈0.115）. Conclusion LAC patients in the first lesions appear frequently, more than 5mm. The total number of lesions detected by MRI is higher than that of CT and MRI on the detection of the total, less than 5mm lesions have obvious advantages, But in the early stage of the disease appeared in water, which need accurate diagnosis, timely to ensure the late treatment, MRI has more clinical value.
作者
文铁
WEN Tie.(CT Room, the Affiliated Hospital of Yan＇an University, Yanan 716000, Shanxi Province, China)
出处
《中国CT和MRI杂志》
2017年第2期4-6,共3页
Chinese Journal of CT and MRI
