CAJ | 학술논문

　　目的探讨MRI结合扩散加权成像（ DWI）诊断脑囊虫病的临床价值．方法选取疑似脑囊虫病患者103例行MRI检查和DWI检查，分析MRI检查、DWI检查及MRI结合DWI检查的灵敏度、特异性、准确率，总结MRI结合DWI诊断脑囊虫病的相关性．结果 DWI检查的灵敏度、特异性、准确率均高于MRI检查，但差异无统计学意义（P＞0．05）；MRI结合DWI检查的灵敏度、特异性、准确率均明显高于MRI检查和DWI检查，差异有统计学意义（P＜0．05）；MRI 检查、DWI 检查、MRI 结合 DWI 检查均与脑囊虫病存在一定程度的正相关性（P＜0．05）．结论 MRI结合DWI检查是脑囊虫病的有效诊断手段之一，可显著提高脑囊虫病的诊断准确率．
　　목적탐토MRI결합확산가권성상（ DWI）진단뇌낭충병적림상개치．방법선취의사뇌낭충병환자103례행MRI검사화DWI검사，분석MRI검사、DWI검사급MRI결합DWI검사적령민도、특이성、준학솔，총결MRI결합DWI진단뇌낭충병적상관성．결과 DWI검사적령민도、특이성、준학솔균고우MRI검사，단차이무통계학의의（P＞0．05）；MRI결합DWI검사적령민도、특이성、준학솔균명현고우MRI검사화DWI검사，차이유통계학의의（P＜0．05）；MRI 검사、DWI 검사、MRI 결합 DWI 검사균여뇌낭충병존재일정정도적정상관성（P＜0．05）．결론 MRI결합DWI검사시뇌낭충병적유효진단수단지일，가현저제고뇌낭충병적진단준학솔．
Objective To investigate the clinical value of MRI and DWI in diagnosis of cerebral cysticercosis . Method 103 patients with suspected cerebral cysticercosis were selected .They all received routinely MRI examination and DWI examination .The sensitivity , specificity and accuracy of MRI examination , DWI examination ,and the examination of MRI combined with DWI were analyzed ,and the correlation of MRI and DWI with the diagnosis of cerebral cysticercosis was summarized .Results The sensitivity ,specificity and accuracy of DWI examination were higher than those of MRI examination , and the differences were not significant (P>0.05).The sensitivity,specificity and accuracy of MRI combined with DWI examination were significantly higher than those of MRI examination or DWI examination , and the differences were significant ( P<0 .05 ) , indicating that MRI examination , DWI examination , and examination of MRI combined with DWI could show a positive correlation with cerebral cysticercosis to some extent (P<0.05).Conclusion The examination of MRI combined with DWI should be one of effective means in the diagnosis of cerebral cysticercosis ,which has a high clinical value and can significantly improve the diagnostic accuracy of cerebral cysticercosis .