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对比在早期临床诊断脑梗死疾病中应用CT与MRI的价值 被引量:2

Comparison of CT and MRI in Early Clinical Diagnosis of Cerebral Infarction
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摘要 目的:比较CT与MRI在脑梗死疾病早期诊断中的应用效果。方法:随机选取2016年1月~2020年12月本院38例脑梗死患者,所有患者分别实施CT检查与MRI检查,对检查效果进行比较。结果:脑梗死总检出率方面,MRI检查是97.37%,CT检查是68.42%,MRI检查比CT检查高,差异明显(P<0.05);病灶大小及检查时间方面,MRI检查与CT检查存在明显差异(P<0.05);<12h及12~24h检出率方面,MRI检查分别是84.21%与92.11%,CT检查分别是50.00%与63.16%,CT检查比MRI检查低,差异显著(P<0.05);>24h检出率方面,CT检查与MRI检查未见明显差异(P>0.05);额叶、顶叶、基底节、丘脑检出率方面,MRI检查分别是89.47%、55.26%、97.37%与60.53%,CT检查分别是42.11%、31.58%、71.05%、36.84%,CT检查比MRI检查低,差异明显(P<0.05);而脑室旁与颞叶检出率方面,两种检查方面未见明显差异(P>0.05)。结论:MRI检查方法在脑梗死早期诊断中的应用效果比CT检查优,除清楚的显示病灶所在位置,提高疾病检出率外,还能够清晰地显示病灶大小、形态等。 Objective:To compare the application effect of CT and MRI in the early diagnosis of cerebral infarction.Methods:38 patients with cerebral infarction in our hospital from January 2016 to December 2020 were randomly selected.All patients were given CT examination and MRI examination respectively,and the examination effect was compared.Results:The total detection rate of cerebral infarction was 97.37%by MRI and 68.42%by CT.MRI was higher than CT(P<0.05);There were significant differences between MRI and CT in lesion size and examination time(P<0.05).In terms of the detection rate of 12h and 12-24h,MRI examination was 84.21%and 92.11%respectively,while CT examination was 50.00%and 63.16%respectively.CT examination was lower than MRI examination,and the difference was significant(P<0.05).In terms of 24-hour detection rate,there was no significant difference between CT and MRI(P>0.05);The detection rates of frontal lobe,parietal lobe,basal ganglia and thalamus in MRI were 89.47%,55.26%,97.37%and 60.53%respectively,while those in CT were 42.11%,31.58%,71.05%and 36.84%respectively,which were lower than those in MRI(P<0.05);There was no significant difference in the detection rate of paraventricular and temporal lobe(P>0.05).Conclusion:The application effect of MRI in the early diagnosis of cerebral infarction is better than that of CT.In addition to clearly showing the location of the lesion and improving the disease detection rate,MRI can clearly show the size and shape of the lesion.
作者 陈苍松 郑许强 黄婷 龚碧云 CHEN Cang-song;ZHENG Xu-qiang;HUANG Ting;GONG Bi-yun(Department of Medical Imaging,Fujian Geriatric Hospital,Fujian Fuzhou 350003)
出处 《中国医疗器械信息》 2022年第10期90-92,共3页 China Medical Device Information
关键词 脑梗死 MRI检查 CT检查 cerebral infarction MRI examination CT examination
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