CAJ | 학술논문

目的：研究MRI在诊断弥漫性颅脑轴索损伤中的临床应用价值，为今后临床诊断提供参考和借鉴，提高对弥漫性颅脑轴索损伤的诊断水平。方法选取2010年1月-2014年10月期间我院收治的76例弥漫性颅脑轴索损伤患者为研究对象，根据诊断方式的不同分为两组，对照组患者采用CT进行检查，观察组患者采用MRI进行检查，比较两组患者的诊断结果。结果观察组对于脑深部区域、非出血病灶及出血病灶的检出数量明显高于对照组，p＜0.05；观察组的诊断敏感度要高于对照组，p＜0.05，差异具有统计学意义。结论 CT和MRI对弥漫性颅脑轴索损伤的诊断都具有重要的临床诊断价值，但是MRI的诊断敏感度要高于CT，尤其是对脑内非出血病灶和深部病灶的敏感度要高于CT，和CT检查技术相比，具有更明显的优势，值得在临床实践中广泛的应用和推广。
목적：연구MRI재진단미만성로뇌축색손상중적림상응용개치，위금후림상진단제공삼고화차감，제고대미만성로뇌축색손상적진단수평。방법선취2010년1월-2014년10월기간아원수치적76례미만성로뇌축색손상환자위연구대상，근거진단방식적불동분위량조，대조조환자채용CT진행검사，관찰조환자채용MRI진행검사，비교량조환자적진단결과。결과관찰조대우뇌심부구역、비출혈병조급출혈병조적검출수량명현고우대조조，p＜0.05；관찰조적진단민감도요고우대조조，p＜0.05，차이구유통계학의의。결론 CT화MRI대미만성로뇌축색손상적진단도구유중요적림상진단개치，단시MRI적진단민감도요고우CT，우기시대뇌내비출혈병조화심부병조적민감도요고우CT，화CT검사기술상비，구유경명현적우세，치득재림상실천중엄범적응용화추엄。
Objective To study clinical application value of MRI in the diagnosis of diffuse cerebral axonal injury,and provide a reference for clinical diagnosis in the future,also improve the diagnosis level of diffuse cerebral axonal injury.Methods Seventy six patients with diffuse cerebral axonal injury patients admitted by this hospital from January, 2010 to October, 2014 were selected as research subjects, who were divided into two groups according to different methods of diagnosis, patients in the control group were subject to CT examination, and patients in the observation group were subject to examinations with magnetic resonance imaging (MRI), diagnosis results of patients in two groups were compared.Results The detection quantity of deep cerebra area, non-bleeding lesions and bleeding lesions of patients in the observation group were significantly higher than that of patients in the control group, p<0.05, and the diagnosis sensitivity of patients in the observation group was higher than that of patients in the control group, p<0.05, and the difference was statistically significant.Conclusions Both CT and MRI pose important clinical diagnostic value in the diagnosis of diffuse cerebral axonal injury, but the diagnosis sensitivity of MRI is higher than that of CT, especially the sensitivity of non-bleeding cerebral lesions and deep lesions is higher that of CT, and it delivers more significant advantages when compared to CT examination technology, being worthy of wide application and promotion in clinical practices.