CAJ | 학술논문

目的：对CT 脑灌注成像技术诊断急性脑梗死的价值进行探讨。方法选择该院于2014年1月—2014年8月期间收治的急性脑梗死患者60例作为研究对象，该组患者均在1周内经CT平扫并复查确诊为脑梗死；患者入院后均在6 h内进行接受16层螺旋CT脑灌注成像，比较分析健侧正常区、半暗带区及脑梗死区的影像。结果通过统计、计算CT脑灌注成像数据可知，在 CBF、CBV及MTT的平均值方面，脑梗死区与健侧区相比，差异有统计学意义(P<0.05)；脑梗死区域、半暗带区及健侧区的CBV和MTT平均值呈逐渐下降趋势，而CBF成上升趋势。结论急性脑梗死可利用16层螺旋 CT进行诊断，早期诊断效果良好，可为治疗提高准确的影像依据。
목적：대CT 뇌관주성상기술진단급성뇌경사적개치진행탐토。방법선택해원우2014년1월—2014년8월기간수치적급성뇌경사환자60례작위연구대상，해조환자균재1주내경CT평소병복사학진위뇌경사；환자입원후균재6 h내진행접수16층라선CT뇌관주성상，비교분석건측정상구、반암대구급뇌경사구적영상。결과통과통계、계산CT뇌관주성상수거가지，재 CBF、CBV급MTT적평균치방면，뇌경사구여건측구상비，차이유통계학의의(P<0.05)；뇌경사구역、반암대구급건측구적CBV화MTT평균치정축점하강추세，이CBF성상승추세。결론급성뇌경사가이용16층라선 CT진행진단，조기진단효과량호，가위치료제고준학적영상의거。
Objective To discuss the value of CT cerebral perfusion imaging technique in the diagnosis of acute cerebral infarction. Methods 60 patients with the acute cerebral infarction in our hospital in 2014 January to 2014 August as the research subjects, the groups of patients within 1 weeks after CT scan patients diagnosed as cerebral infarction; all the patients were performed within 6h received 16 slice spiral CT cerebral perfusion imaging, analysis and comparison of the contralateral normal region penumbra of cerebral infarction, and the image of the area.Results By statistics, calculating the CT cerebral perfusion imaging data shows that, in the average value of CBF, CBV and MTT, cerebral infarction area compared with the contralateral region, the difference was statistically(P<0.05); average value of cerebral infarction area, penumbra and contralateral regions of CBV and MTT decreased gradually, and CBF increased trend.Conclusion Acute cerebral infarction diagnosis can be carried out using 16 slice spiral CT, early diagnosis and good effect, can improve the imaging basis for proper treatment.