中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
14期
108-109,112
,共3页
磁共振成像%CT%急性脑出血%临床价值
磁共振成像%CT%急性腦齣血%臨床價值
자공진성상%CT%급성뇌출혈%림상개치
Magnetic resonance imaging%CT%Cerebral hemorrhage in acute phase%Clinical value
目的：探讨MRI检查在急性期脑出血诊断中的临床价值。方法回顾性分析2009～2011年收治的急性期脑出血患者54例患者影像学资料，所有患者均分别进行CT与MRI检查，对两种检查的诊断敏感性与对脑血肿量进行统计并做对比分析。结果 T2*WI和CT的敏感性明显好于T1WI与T2WI的敏感性，差异具有统计学意义（P＜0.05）。CT、T1WI、T2WI、T2*WI测量脑血肿量分别为（31.28±3.34）mL、（32.03±3.96）mL、（27.12±4.83）mL、（29.17±5.43）mL。CT与T2*WI检测结果相接近，无明显差异（P＞0.05），T1WI与T2WI对脑血肿量的测量值较CT 和T2*WI略小,但无明显统计学差异（P＞0.05）。CT与T2*WI检查成像中较清晰，显示血肿部位有明显的边界和高信号。结论 MRI检查可有效检查出急性脑出血。MRI检查在急性期脑出血诊断中的临床价值不亚于CT检查，其可为急性脑出血诊断提供了重要的依据。
目的：探討MRI檢查在急性期腦齣血診斷中的臨床價值。方法迴顧性分析2009～2011年收治的急性期腦齣血患者54例患者影像學資料，所有患者均分彆進行CT與MRI檢查，對兩種檢查的診斷敏感性與對腦血腫量進行統計併做對比分析。結果 T2*WI和CT的敏感性明顯好于T1WI與T2WI的敏感性，差異具有統計學意義（P＜0.05）。CT、T1WI、T2WI、T2*WI測量腦血腫量分彆為（31.28±3.34）mL、（32.03±3.96）mL、（27.12±4.83）mL、（29.17±5.43）mL。CT與T2*WI檢測結果相接近，無明顯差異（P＞0.05），T1WI與T2WI對腦血腫量的測量值較CT 和T2*WI略小,但無明顯統計學差異（P＞0.05）。CT與T2*WI檢查成像中較清晰，顯示血腫部位有明顯的邊界和高信號。結論 MRI檢查可有效檢查齣急性腦齣血。MRI檢查在急性期腦齣血診斷中的臨床價值不亞于CT檢查，其可為急性腦齣血診斷提供瞭重要的依據。
목적：탐토MRI검사재급성기뇌출혈진단중적림상개치。방법회고성분석2009～2011년수치적급성기뇌출혈환자54례환자영상학자료，소유환자균분별진행CT여MRI검사，대량충검사적진단민감성여대뇌혈종량진행통계병주대비분석。결과 T2*WI화CT적민감성명현호우T1WI여T2WI적민감성，차이구유통계학의의（P＜0.05）。CT、T1WI、T2WI、T2*WI측량뇌혈종량분별위（31.28±3.34）mL、（32.03±3.96）mL、（27.12±4.83）mL、（29.17±5.43）mL。CT여T2*WI검측결과상접근，무명현차이（P＞0.05），T1WI여T2WI대뇌혈종량적측량치교CT 화T2*WI략소,단무명현통계학차이（P＞0.05）。CT여T2*WI검사성상중교청석，현시혈종부위유명현적변계화고신호。결론 MRI검사가유효검사출급성뇌출혈。MRI검사재급성기뇌출혈진단중적림상개치불아우CT검사，기가위급성뇌출혈진단제공료중요적의거。
Objective To investigate the clinical value of MRI in diagnosis of cerebral hemorrhage in acute phase. Methods The imaging data of 54 patients with the acute phase cerebral hemorrhage in our hospital from May 2011 to April 2012 were retrospectively analyzed. All patients were respectively examined by CT and MRI. The diagnostic sensitivity and hematoma volume of two check methods were statistically analyzed. Results The sensitivity of T2*WI and CT were better than that of T1WI and T2WI, the differences were statistically significant(P<0.05). The brain hematoma volume of CT, T1WI, T2WI, T2*WI was(31.28 ± 3.34) mL,(32.03 ± 3 96) mL,(27.12 ± 4.83) mL,(29.17±5.43) mL. Measurement of cerebral hematoma volume of T1WI and T2WI value were slightly lower than the CT and T2*WI, but no significant difference(P > 0.05).The display of CT and T2*WI were clear,with clear boundaries and high signal. Conclusion MRI can effectively detect cerebral hemorrhage in acute phase. MRI examination is not less than CT examination in the diagnosis of cerebral hemorrhage in acute phase. It can provide an important basis for diagnosis for the acute cerebral hemorrhage.
