国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
16期
2443-2445
,共3页
老年患者%MRI和CT%临床诊断%脑梗死
老年患者%MRI和CT%臨床診斷%腦梗死
노년환자%MRI화CT%림상진단%뇌경사
Elderly patients%MRI&CT%Clinical diagnosis%Cerebral infarction
目的 比较老年多发性脑梗死患者采用MRI和CT诊断的临床结果.方法 入选我院2013年3月至2014年3月符合标准的老年多发性脑梗死患者108例,分别给予MRI和CT检查进行诊断检测,观察并分析两种检查的临床结果情况.结果 本次研究中,急性梗死24 h内就诊患者的MRI检出率为93.8％显著优于CT的检出率(12.5％),结果比较差异有统计学意义(P＜0.05);而24 h后就诊患者MRI、CT检出率比较差异无统计学意义(P＞0.05).MRI在检测梗死病灶小于2 mm的患者时,阳性检出率为51.9％明显高于CT的5.6％(P＜0.05),而MRI、CT在检测梗死病灶大于2 mm的患者时,其阳性检出率分别为69.2％、79.4％,两种检查方法比较差异无统计学意义(P＞0.05).MRI对脑干、小脑梗死病灶的检出率分别为7.4％、8.3％,明显高于CT的0.9％、1.9％(P＜0.05).结论 老年多发性脑梗死患者采用颅脑CT和MRI检测,是临床诊断患者病情的重要手段,而MRI较CT而言对梗死病灶的检出率效果更佳,可极大避免小梗死病灶的漏检,值得临床推广和应用.
目的 比較老年多髮性腦梗死患者採用MRI和CT診斷的臨床結果.方法 入選我院2013年3月至2014年3月符閤標準的老年多髮性腦梗死患者108例,分彆給予MRI和CT檢查進行診斷檢測,觀察併分析兩種檢查的臨床結果情況.結果 本次研究中,急性梗死24 h內就診患者的MRI檢齣率為93.8％顯著優于CT的檢齣率(12.5％),結果比較差異有統計學意義(P＜0.05);而24 h後就診患者MRI、CT檢齣率比較差異無統計學意義(P＞0.05).MRI在檢測梗死病竈小于2 mm的患者時,暘性檢齣率為51.9％明顯高于CT的5.6％(P＜0.05),而MRI、CT在檢測梗死病竈大于2 mm的患者時,其暘性檢齣率分彆為69.2％、79.4％,兩種檢查方法比較差異無統計學意義(P＞0.05).MRI對腦榦、小腦梗死病竈的檢齣率分彆為7.4％、8.3％,明顯高于CT的0.9％、1.9％(P＜0.05).結論 老年多髮性腦梗死患者採用顱腦CT和MRI檢測,是臨床診斷患者病情的重要手段,而MRI較CT而言對梗死病竈的檢齣率效果更佳,可極大避免小梗死病竈的漏檢,值得臨床推廣和應用.
목적 비교노년다발성뇌경사환자채용MRI화CT진단적림상결과.방법 입선아원2013년3월지2014년3월부합표준적노년다발성뇌경사환자108례,분별급여MRI화CT검사진행진단검측,관찰병분석량충검사적림상결과정황.결과 본차연구중,급성경사24 h내취진환자적MRI검출솔위93.8％현저우우CT적검출솔(12.5％),결과비교차이유통계학의의(P＜0.05);이24 h후취진환자MRI、CT검출솔비교차이무통계학의의(P＞0.05).MRI재검측경사병조소우2 mm적환자시,양성검출솔위51.9％명현고우CT적5.6％(P＜0.05),이MRI、CT재검측경사병조대우2 mm적환자시,기양성검출솔분별위69.2％、79.4％,량충검사방법비교차이무통계학의의(P＞0.05).MRI대뇌간、소뇌경사병조적검출솔분별위7.4％、8.3％,명현고우CT적0.9％、1.9％(P＜0.05).결론 노년다발성뇌경사환자채용로뇌CT화MRI검측,시림상진단환자병정적중요수단,이MRI교CT이언대경사병조적검출솔효과경가,가겁대피면소경사병조적루검,치득림상추엄화응용.
Objective To compare clinical diagnosis of MRI and CT in elderly patients with multiple cerebral infarction.Methods 108 elderly patients with multiple cerebral infarction in our hospital from March 2013 to March 2014 were selected,who separately diagnosed by MRI and CT.The clinical diagnosis based on MRI and CT were observed.Results Within 24 h,the detection rate of MRI for patients with acute cerebral infarction was significantly higher than that of CT (93.8％ vs.12.5％;P＜0.05);within or above 72 h,there was no statistically significant difference in the detection rate between MRI and CT (P＞0.05).For patients with ＜2 mm infarcts,the positive rate of MRI was significantly higher than that of CT (51.9％ vs.5.6％;P＜0.05);for patients with ＞2 mm infarcts,the positive rate of MRI and CT were 69.2％,79.4％,without statistically significant difference (P＞0.05).The detection rate of infarcts for cerebellum and brainstem of MRI were significantly higher than those of CT (7.4％ vs.0.9％,8.3％ vs.l.9％;P＜0.05).Conclusion For elderly patients with multiple cerebral infarction,cerebral CT and MRI detections are important diagnosis approaches.Compared with CT,the detection of MRI for multiple cerebral infarction has a better effect,worthy of clinical promotion.
