CAJ | 학술논문

目的：对患者应用计算机断层扫描(CT)和磁共振成像(MRI)两种方法比较脑梗死后出血性的诊断价值。方法：回顾我院自2007到2011年收治的脑梗死后出血性转变的患者32例,对32例患者均采用CT和MRI检测脑内梗塞灶的数量,部位以及大小,MRI和CT均进行头部横断面扫描,厚度均为8mm,并进行拍照观察,每个截面10～12张影像,最后综合进行分析诊断。结果：MRI对于脑基底层和脑干等部位的检查更敏感,MRI检测出的脑梗死后出血性的例数也多余CT,MRI检测出25例脑梗死后出血转变的患者,占到78.1%,远远多于CT诊断患有脑梗死后出血性转变的7例患者,差异显著,具有统计学意义(P<0.05)。同样的患者,两种手段检测出的病灶、形态均有差异,但MRI成像更易观察。结论：临床上MRI对脑梗死后出血转变的诊断价值远高于CT。
목적：대환자응용계산궤단층소묘(CT)화자공진성상(MRI)량충방법비교뇌경사후출혈성적진단개치。방법：회고아원자2007도2011년수치적뇌경사후출혈성전변적환자32례,대32례환자균채용CT화MRI검측뇌내경새조적수량,부위이급대소,MRI화CT균진행두부횡단면소묘,후도균위8mm,병진행박조관찰,매개절면10～12장영상,최후종합진행분석진단。결과：MRI대우뇌기저층화뇌간등부위적검사경민감,MRI검측출적뇌경사후출혈성적례수야다여CT,MRI검측출25례뇌경사후출혈전변적환자,점도78.1%,원원다우CT진단환유뇌경사후출혈성전변적7례환자,차이현저,구유통계학의의(P<0.05)。동양적환자,량충수단검측출적병조、형태균유차이,단MRI성상경역관찰。결론：림상상MRI대뇌경사후출혈전변적진단개치원고우CT。
Objective: For patients with application of computer tomography (CT) and magnetic resonance imaging (MRI) to compare the two methods after cerebral infarction diagnostic value of bloody. Methods:Reviewed 32 cases of those hemorrhagic transformation patients who have been admitted at our hospital from 2007 to 2010,adopted CT and MRI to detect these 32 cases of patients' focus of infarct number,position and size,used MRI and CT to proceed head cross-sectional scan,and the thickness were 8mm,took pictures and observed them,each section has 10 to 12 images,finally,analyzed and diagnosed them comprehensively.Results:MRI was more sensitive to brain base layer's and brainstem's examinations,MRI could check up more cases of hemorrhagic transformation than CT,MRI checked up 25 cases of hemorrhagic transformation patients,accounted for 78.1%,it was far more than cases checked up by CT(7 cases),the difference was significant,it has statistics meaning(P<0.05).For the same patients,focus and shapes checked up by CT was different from MRI,but MRI image was easy to observe.Conclusions:MRI's diagnosis value in hemorrhagic transformation is far higher than CT's.