多发性硬化的临床与磁共振成像和CT诊断  

Multiple sclerosis clinical and MRI, CT diagnostic analysis

作　　者：张喜娥[1] 

机构地区：[1]山西省吕梁市人民医院MRI-CT室,033000

出　　处：《实用医学影像杂志》2014年第1期50-52,共3页Journal of Practical Medical Imaging

摘　　要：目的：探讨多发性硬化（MS）的临床及影像特点，旨在减少误诊率，提高诊断准确率。方法统计近10年内明确诊断的9例多发性硬化患者的临床资料及影像检查表现。9例患者均于日本东芝系统Vantage XGV 1．5 T超导型核磁共振扫描仪上检查。CT扫描用德国西门子公司生产的Emation 6排多层螺旋CT机器，从颅底向颅顶连续扫描。结果多发性硬化好发年龄平均31．5岁（和之前文献报道一致），MRI检查敏感率超过CT，好发部位，9例中5例于脑内，2例发生于脊髓，2例脑与脊髓同时存在病灶。结论 MS年龄多在20~40之间。临床分为脑型、脊髓型、和脑脊髓型。通过临床及影像分析，降低了MS的误诊率。Objective To explore the clinical and image features of the multiple sclerosis and improve the ac-curacy of diagnosis. Methods Clinical data and image manifestation of 9 cases′multiple sclerosis patients identified for the last 10 years were colllected. Nine patients were checked on Japan Toshiba system Vantahr XGV 1.5 T super-conductive MRI scanner. Continuously scanning from the skull base to the vertex by Emation 6 multi-slice spiral CT machine of Germany Siemens. Results The average age for invasion of multiple sclerosis was 31.5 years old （consis-tent with previous reviews）. MRI was more sensitive than CT, and of 9 cases, the predilection sites were in the brain with 5 cases, occurred in the spinal cord with 2 cases, and in both with 2 cases. Conclusion Multiple sclerosis oc-curred in patients aged between 20-40 years old （consistent with previous report）. And it was divided into the brain type, spinal cord type, and cerebral spinal cord type in clinical work. Through the analysis of clinical and imaging, it can reduce misdiagnosis rate of the multiple sclerosis.

关 键 词：多发性硬化 磁共振成像 体层摄影术 螺旋计算机 

分 类 号：R744.51[医药卫生—神经病学与精神病学]