中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
21期
7-8
,共2页
低场强增强核磁%诊断%脑部肿瘤%临床意义
低場彊增彊覈磁%診斷%腦部腫瘤%臨床意義
저장강증강핵자%진단%뇌부종류%림상의의
Low field enhanced magnetic resonance%Diagnosis%Brain tumor%Clinical significance
目的：探讨低场强增强核磁在诊断脑部肿瘤中的应用价值。方法选取2012年6月至2014年6月在安阳市肿瘤医院检查的72例疑似脑部肿瘤患者，分析低场强核磁诊断结果与术后病理诊断结果差异性，计算其阳性率、误诊率、漏诊率、确诊率、特异度等指标。结果72例疑似脑肿瘤患者，经病理确诊66例，其中经低场强核磁脑肿瘤阳性61例，其中1例误诊，误诊率为1．6％；6例漏诊，漏诊率为9．1％；60例确诊，确诊率为90．9％；特异度为91．7％。60例确诊患者中，星形细胞瘤18例，髓母细胞瘤12例，血管母细胞瘤11例，转移瘤3例，脑膜瘤5例，室管膜瘤11例；漏诊6例，星形细胞瘤误诊例数1例，血管母细胞瘤漏诊1例，转移瘤漏诊2例，脑膜瘤漏诊2例。不同类型肿瘤中的敏感度与特异性比较差异未见统计学意义（ P＞0．05）。结论经低场强核磁诊断脑部肿瘤有较高准确率，缩短检测时间，提高患者的检测安全性，有较高临床推广意义。
目的：探討低場彊增彊覈磁在診斷腦部腫瘤中的應用價值。方法選取2012年6月至2014年6月在安暘市腫瘤醫院檢查的72例疑似腦部腫瘤患者，分析低場彊覈磁診斷結果與術後病理診斷結果差異性，計算其暘性率、誤診率、漏診率、確診率、特異度等指標。結果72例疑似腦腫瘤患者，經病理確診66例，其中經低場彊覈磁腦腫瘤暘性61例，其中1例誤診，誤診率為1．6％；6例漏診，漏診率為9．1％；60例確診，確診率為90．9％；特異度為91．7％。60例確診患者中，星形細胞瘤18例，髓母細胞瘤12例，血管母細胞瘤11例，轉移瘤3例，腦膜瘤5例，室管膜瘤11例；漏診6例，星形細胞瘤誤診例數1例，血管母細胞瘤漏診1例，轉移瘤漏診2例，腦膜瘤漏診2例。不同類型腫瘤中的敏感度與特異性比較差異未見統計學意義（ P＞0．05）。結論經低場彊覈磁診斷腦部腫瘤有較高準確率，縮短檢測時間，提高患者的檢測安全性，有較高臨床推廣意義。
목적：탐토저장강증강핵자재진단뇌부종류중적응용개치。방법선취2012년6월지2014년6월재안양시종류의원검사적72례의사뇌부종류환자，분석저장강핵자진단결과여술후병리진단결과차이성，계산기양성솔、오진솔、루진솔、학진솔、특이도등지표。결과72례의사뇌종류환자，경병리학진66례，기중경저장강핵자뇌종류양성61례，기중1례오진，오진솔위1．6％；6례루진，루진솔위9．1％；60례학진，학진솔위90．9％；특이도위91．7％。60례학진환자중，성형세포류18례，수모세포류12례，혈관모세포류11례，전이류3례，뇌막류5례，실관막류11례；루진6례，성형세포류오진례수1례，혈관모세포류루진1례，전이류루진2례，뇌막류루진2례。불동류형종류중적민감도여특이성비교차이미견통계학의의（ P＞0．05）。결론경저장강핵자진단뇌부종류유교고준학솔，축단검측시간，제고환자적검측안전성，유교고림상추엄의의。
Objective To investigate the application value of low field intensity enhanced mag-netic resonance on diagnosis of brain tumor.Methods Seventy-two patients with brain tumor from June 2012 to June 2014 were selected, the difference between low field MR diagnosis and the postoperative pathological diagnosis result was analyzed, to the positive rate, the misdiagnosis rate, missed diagnosis rate, the diagnosis rate, specific index was calculated.Results Seventy-two patients with suspected brain tumor, 66 cases confirmed by pathology, positive in the low field NMR brain tumors were 61 cases, including 1 case of misdiagnosis, the misdiagnosis rate was 1.6%, 6 cases of misdiagnosis, the missed diagnosis rate was 9.1%, 60 cases were diagnosed, the accuracy rate was 90.9%, specificity was 91.7%;Among the 60 patients, astrocytoma in 18 cases, medulloblastoma in 12 cases, hemangioblas-toma in 11 cases, metastatic tumors in 3 cases, meningioma in 5 cases, ependymoma in 11 cases;missed diagnosis in 6 cases, 1 case of astrocytoma, 1 cases of hemangioblastoma, 2 cases of metastatic tumors, 2 cases of meningioma.The sensitivity and specificity of different types of tumors had no significant differ-ence(P>0.05).Conclusions The low field MR diagnosis of brain tumors have higher accuracy rate, shorter detection time, can improve the detection of patient safety, has high clinical significance.
