摘要
目的探讨核磁诊断脑静脉窦血栓的临床价值。方法方便选择2015年1月—2019年1月该院54例脑静脉窦血栓患者,对照组:采用CT诊断;观察组:采用核磁共振诊断。对两组诊断结果进行比较,并将两种诊断方法的影像学表现情况记录下来。结果两组在诊断准确率方面进行比较,观察组96.30%优于对照组81.48%,差异有统计学意义(χ^2=5.434,P<0.05)。CT影像结果:对患者头部实施CT扫描后,有6例患者平扫中无异常情况发生,有11例患者的静脉窦部有不清晰的界限,而且受到条片状高密度影响;4例患者在高密度影像位置在窦汇、上矢状窦、直窦、横窦;有4例患者实施增强扫描后,静脉窦内没有造影剂充盈情况,显示低密度,并有血栓影像。核磁共振影像结果:对27例患者实施核磁共振扫描,得出:上矢状窦位置有10例,在窦汇4例,横窦6例,直窦4例,乙状窦3例。多数患者在短T1与短T2变化,血管成像是条样,低信号充盈缺损;少数患者的右侧横窦内血栓以微T1短T2,静脉血管成像后右侧横窦受压有变细情况。结论针对脑静脉窦血栓患者应用核磁共振诊断临床价值高,不仅诊断准确率高,对疾病的敏感性也较高,符合临床需求,值得推广。
Objective To investigate the clinical value of nuclear magnetic diagnosis of cerebral venous sinus thrombosis.Methods From January 2015 to January 2019,54 patients with cerebral venous sinus thrombosis were convenient selected.The control group:CT diagnosis;the observation group:MRI diagnosis.The two groups of diagnosis results were compared and the imaging findings of the two diagnostic methods were recorded.Results The two groups were compared in terms of diagnostic accuracy.The observation group was 96.30%superior to the control group(81.48%),and the difference was statistically significant(χ^2=5.434,P<0.05).CT image results:After CT scan of the patient's head,there were 6 patients with no abnormalities in the plain scan.There were 11 patients with unclear sinus and affected by strip-like high density;4 cases were in the high-density image position in the sinus,superior sagittal sinus,straight sinus,and transverse sinus;after 4 patients underwent an enhanced scan,there was no contrast filling in the sinus,showing low density and thrombus imaging.Magnetic resonance imaging results:MRI scan of 27 patients showed that there were 10 cases of superior sagittal sinus,4 cases of sinus sinus,6 cases of transverse sinus,4 cases of straight sinus,and 3 cases of sigmoid sinus.Most patients have short T1 and short T2 changes,vascular imaging is a strip,low signal filling defect;a small number of patients with right transverse sinus thrombus with micro T1 short T2,venous vascular imaging after the right transverse sinus compression has a thinning situation.Conclusion The clinical value of NMR diagnosis for patients with cerebral venous sinus thrombosis is high.It not only has high diagnostic accuracy,but also has high sensitivity to disease,which meets clinical needs and is worthy of promotion.
作者
高军
高戈
段明明
GAO Jun;GAO Ge;DUAN Ming-ming(Magnetic Resonance Room,Medical Imaging Center,Jinan Central Hospital,Jinan,Shandong Province,250013 China;Department of Traditional Chinese Medicine,Qianfoshan Hospital,Jinan,Shandong Province,251014 China)
出处
《中外医疗》
2019年第28期186-188,共3页
China & Foreign Medical Treatment
关键词
脑静脉窦血栓
核磁
诊断
临床观察
Cerebral venous sinus thrombosis
Nuclear magnetic
Diagnosis
Clinical observation
