摘要
目的探讨ESWAN序列对创伤性脊髓损伤的诊断价值。方法回顾性分析自2016年4月至2018年4月南京医科大学第二附属医院收治的83例创伤性脊髓损伤患者的临床资料。分别采用常规MRI序列和ESWAN序列对患者进行检查,比较两种检查方法对水肿和出血的检出率。结果常规MRI序列和ESWAN序列对水肿的检出率分别为69. 6%(39/56)和75. 0%(42/56),差异无统计学意义(P> 0. 05)。常规MRI序列和ESWAN序列对出血的检出率分别为44. 7%(21/47)和91. 5%(43/47),差异有统计学意义(P <0. 05);其中,对48 h内出血的检出率分别为27. 3%(3/11)和72. 7%(8/11),对72 h内出血的检出率分别为36. 8%(7/19)和94. 7%(18/19),对超过72 h出血的检出率分别为64. 7%(11/17)和100. 0%(17/17),差异均有统计学意义(P <0. 05)。结论在创伤性脊髓损伤诊断方面,ESWAN序列的出血检出率高于常规MRI序列。
Objective To investigate the value of ESWAN sequence in the diagnosis of patients with traumatic spinal cord injury.Methods A retrospective study was performed on 83 cases of patient with traumatic spinal cord injury who were admitted from April 2016 to April 2018.Patients were examined using conventional MRI sequences and ESWAN sequences,and the detection rates of edema and hemorrhage were compared between the two methods.Results The detection rate of edema by conventional MRI sequences and ESWAN sequences were 69.6%（39/56） and 75.0%（42/56）,respectively,with no statistically significant difference（ P 〉0.05）.The detection rates of conventional MRI sequences and ESWAN sequences were 44.7%（21/47） and 91.5%（43/47）,respectively,with statistically significant differences（ P 〈0.05）.Among them,the detection rates were 27.3%（3/11） and 72.7%（8/11） at 48 hours,36.8%（7/19） and 94.7%（18/19） at 72 hours,and 64.7%（11/17） and 100.0%（17/17） after 72 hours（ P 〈0.05）.Conclusion Terms of the diagnosis of traumatic spinal cord injury,the bleeding detection rate of ESWAN sequence is higher than that of conventional MRI sequence.
作者
沈世田
田俊
韩晖云
李海歌
SHEN Shi-tian;TIAN Jun;HAN Hui-yun;LI Hai-ge(Department of Medical Imaging,Second Affiliated Hospital of Nanjing Medical University,Nanjing 210012,China)
出处
《创伤与急危重病医学》
2018年第6期384-385,共2页
Trauma and Critical Care Medicine
