摘要
目的:对比脑梗死早期诊断中应用64排螺旋CT与3.0T核磁共振成像的临床应用价值。方法:选取我院2017年1月至2018年12月间收治的67例脑梗死患者为研究对象,所有患者均同时应用64排螺旋CT与3.0T核磁共振成像进行检查。比较3.0T核磁共振成像检查和64排螺旋CT检查对患者病变检出情况、发病至影像确诊时间、病灶大小、病灶检出数、检查时间以及不同梗死部位的异常检出率情况。结果:3.0T核磁共振成像检查检出24 h以内和24~72 h内的检出率均高于64排螺旋CT检查(P<0.05)。3.0T核磁共振成像检查和64排螺旋CT检查检出72 h以上的的检出率比较无显著性差异(P>0.05)。3.0T核磁共振成像检查发病至影像确诊时间、平均病灶大小、平均检查时间均低于64排螺旋CT检查,病灶平均检出数高于64排螺旋CT检查(P<0.05)。结论:3.0T核磁共振成像在多发性脑梗死早期诊断中的价值相较于64排螺旋CT检查而言诊断更加准确,具有明显优势,值得在临床上推广使用。
Objective:To compare the clinical value of 64-slice spiral CT and 3.0T magnetic resonance imaging(MRI)in the early diagnosis of cerebral infarction.Methods:Sixty-seven patients with cerebral infarction admitted to our hospital from January 2017 to December 2018 were enrolled.All patients were examined with 64-slice spiral CT and 3.0T MRI.The 3.0T MRI and 64-slice spiral CT were used to detect the lesions,the time from onset to imaging diagnosis,the size of the lesions,the number of lesions detected,the time of examination,and the abnormal detection rate of different infarcts.Results:The detection rate of intraperitoneal examination within 24 h and from 24 to 72 h of 3.0T MRI was higher than that of 64-slice spiral CT(P<0.05).There was no significant differences in the detection rate between the 3.0T MRI and the 64-slice spiral CT examination for more than 72 h(P>0.05).The time from onset to imaging diagnosis,average lesion size,and average examination time of the 3.0T MRI were all lower than that of the 64-slice spiral CT examination.The average number of lesions of the 3.0T MRI was higher than that of 64-slice spiral CT(P<0.05).Conclusion:The clinical value of 3.0T MRI in the early diagnosis of multiple cerebral infarction is more accurate than the 64-slice spiral CT examination.
作者
李鑫
Li Xin(Department of Radiology, Anyang Hospital of Traditional Chinese Medicine, Henan Anyang 455000)
出处
《四川生理科学杂志》
2019年第4期280-282,共3页
Sichuan Journal of Physiological Sciences
