摘要
目的探讨CT检查对诊断颅内感染性疾病的诊断价值,为临床治疗颅内感染提供参考。方法选取2014年10月-2016年10月医院接受治疗的颅内感染患者72例,对72例患者均采取CT平扫及CT增强的两种检查方法,分析CT增强扫描和CT平扫的诊断特点并比较两种扫描方式的准确率及检出率。结果 72例患者中结核性脑膜炎17例占23.6%,化脓性脑膜炎15例占20.8%,病毒性脑膜炎35例占48.6%;查体后显示以颈痛44例和伴有语言障碍40例为主,分别占61.1%和55.6%;临床表现以颅内高血压42例占58.3%,精神紊乱34例占47.2%,癫痫12例占16.7%,烦躁46例占63.9%,头痛50例占69.4%,发热48例占66.7%为主;对两种不同扫描方式的准确率和检出率进行比较,CT增强扫描的准确率为80.6%,检出率为88.9%;CT平扫的准确率为38.9%,检出率为47.2%;CT增强扫描的准确率和检出率高于CT平扫(P<0.05)。结论 CT在诊断颅内感染性疾病中具有一定的研究价值,CT增强扫描的诊断准确率和检出率较高。
OBJECTIVE To explore the value of CT in diagnosis of intracranial infectious diseases so as to provide guidance for clinical treatment of intracranial infections.METHODS A total of 72 patients with intracranial infections who were treated in the hospital from Oct 2014 to Oct 2016 were enrolled in the study,all of the 72 patients received the CT plain scanning and CT enhanced scanning.The diagnostic characteristics,accuracy rate and detection rate were observed and compared between the CT enhanced scanning and the CT plain scanning.RESULTS Of the 72 patients,17（23.6%）had tuberculous meningitis,15（20.8%）had suppurative meningitis,and 35（48.6%）had viral meningitis.The result of physical examination showed that 44（61.1%）had neck pain,and 40（55.6%）were complicated with language disorders;there were 42（58.3%）cases of intracranial hypertension,34（47.2%）cases of mental disorder,12（16.7%）cases of epilepsy,46（63.9%）cases of dysphoria,50（69.4%）cases of headache and 48（66.7%）cases of fever.The accuracy rate of the CT enhanced scanning was 80.6%,significantly higher than 38.9% of the CT plain scanning;the detection rate of the CT enhanced scanning was 88.9%,significantly higher than 47.2% of the CT plain scanning（P〈0.05）.CONCLUSION CT shows certain research value in diagnosis of the intracranial infectious diseases,and the accuracy rate and detection rate of the CT enhanced scanning are relatively high.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第5期715-717,725,共4页
Chinese Journal of Nosocomiology
关键词
CT增强
CT平扫
颅内感染性疾病
诊断价值
CT enhanced scanning
CT plain scanning
Intracranial infectious disease
Diagnostic value
