双源CT脑灌注在脑梗塞中的应用  

Application of Dual Source CT Cerebral Perfusion In Cerebral Infarction

作　　者：窦小锋 田为中[1] 王秀平[1] 

机构地区：[1]江苏省泰州市人民医院医学影像科,江苏泰州225300

出　　处：《现代医用影像学》2016年第5期837-839,共3页Modern Medical Imageology

摘　　要：目的：探讨双源cT脑灌注在脑梗塞中的应用。材料与方法：选取2015年5月-2016年5月我院接待的38例疑似脑梗患者为研究对象，采用回顾分析法，均给予双源CT脑灌注，观察其应用效果。结果：本组38例患者经CT平扫，仅13例为脑缺血病变，通过双源CT脑灌注发现，脑组织缺血部位和其临床症状一致，均有异常低灌区；病灶中心的血流量、血容量均低于正常值，达峰时间、血流通过时间均高于正常值，差异有统计学意义（P〈0．05）；所有患者均见不同程度大脑动脉狭窄。结论：双源cT脑灌注应用于脑梗，具有一定的特异性与敏感性，了解了病变范围、部位等，为临床治疗及预后评估提供了可靠依据。Purpose： to explore the application of the dual-source CT cerebral perfusion in cerebral infarction. Mate- rials and Methods： in May 2015 to May 2016 in our reception of 38 patients with suspected cerebral infarction as the research object, using retrospective analysis, are given dual-source CT cerebral perfusion, the application effect was observed. CT scan Results： 38 cases, 13 cases of suspected ischemie lesions, by dual-source CT cerebral perfusion found that cerebral ischemie area and its clinical symptoms are consistent, are unusually low irrigation area. The center of the lesion blood flow, blood vol- ume are below normal, tmax, blood flow were higher than normal over time, the difference was statistically significant （ P 〈 0.05 ） ; All patients with different degree of cerebral artery stenosis. Conclusion： dual-source CT cerebral perfusion applied in cerebral infarction, have certain specificity and sensitivity, understand the scope of lesions, parts, etc. , and provides the reli- able basis for clinical treatment and prognosis assessment.

关 键 词：双源CT 脑灌注 脑梗塞 应用 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R816.1[医药卫生—临床医学]