CT、MRI对脑后部可逆性脑病综合征诊断及价值分析  

CT and MRI in the diagnosis of posterior reversible encephalopathy syndrome

作　　者：彭金亮 彭可雨[1] 林晓春[2] 梁汉欢[1] PENG Jinliang;PENG Keyu;LIN Xiaochun;LIANG Hanhuan(CT Department,Gaozhou People's Hospital in Guangdong Province,Gaozhou 525200,China;Department of Cardiovascular Ultrasound,Gaozhou People's Hospital in Guangdong Province,Gaozhou 525200,China)

机构地区：[1]广东省高州市人民医院CT科,广东高州525200 [2]广东省高州市人民医院心血管超声科,广东高州525200

出　　处：《中国现代医生》2020年第9期141-143,共3页China Modern Doctor

摘　　要：目的探讨在患有脑后部可逆性脑病综合征患者的临床诊断方式选择当中,CT与MRI的不同应用效果。方法选择本院2018年1月~2019年10月收治的25例脑后部可逆性脑病综合征患者作为主要研究对象,让其入院后分别接受CT扫描与MRI扫描诊断,对两组患者的具体检查情况、确诊情况进行分析。结果所有患者接受MRI扫描检查的确诊情况多于CT检查,MRI确诊例数25例,CT确诊例数23例,但是两种检查方式的相关数据对比后无差异(P>0.05),在所有患者当中,21例患者治疗8~20 d后症状基本消失,患者接受CT检查显示病灶多为低密度病灶,MRI检查则出现高信号表现。结论对于患有脑后部可逆性脑病综合征患者的诊断,让其接受MRI的诊断效果要稍好于CT扫描诊断,可作为这类患者的首选诊断方式进行应用。Objective To explore the different effects of computed tomography(CT) and nuclear magnetic resonance imaging(MRI) in the clinical diagnosis of patients with posterior reversible encephalopathy syndrome(PRES). Methods25 patients with PRES admitted in our hospital from January 2018 to October 2019 were selected as the subjects of study. After admission, they were diagnosed by CT scan and MRI respectively. The specific examination and diagnosis of the two groups were analyzed. Results There were more patients diagnosed and confirmed by MRI than by CT. There were 25 cases diagnosed by MRI and 23 cases diagnosed by CT, and the difference was not statistically significant(P>0.05). 21 cases of patients’ symptom disappeared basically after 8 to 20 d of treatment. Lesions of patients diagnosed by CT were manifested as low-density, while the MRI as high-signal. Conclusion For the diagnosis of patients with PRES, the effect of MRI is better than that of CT scan, which can be used as the first choice of such kind of patients.

关 键 词：脑后部可逆性脑病综合征 MRI CT 诊断价值 

分 类 号：R445.2[医药卫生—影像医学与核医学]