磁共振扩散加权成像联合灌注成像成像技术在诊断缺血性脑卒中的临床价值  

Clinical value of diffusion-weighted imaging combined with perfusion-weighted imaging in the diagnosis of ischemic stroke imaging in the diagnosis of ischemic stroke

作　　者：陆芳[1] 张兆[1] 张千[1] 肖芳 陈辉燕 王一媚 LU Fang;ZHANG Zhao;ZHANG Qian;XIAO Fang;CHEN Huiyan;WANG Yimei(Department of Neurology,the First People's Hospital of Nanning,Guangxi,Nanning 530000,China;Radiology Department,the First People's Hospital of Nanning,Guangxi,Nanning 530000,China)

机构地区：[1]南宁市第一人民医院神经内科,广西南宁530000 [2]南宁市第一人民医院放射科,广西南宁530000

出　　处：《中国医药科学》2021年第9期190-193,共4页China Medicine And Pharmacy

基　　金：广西壮族自治区南宁市科学研究与技术开发计划项目(20173021-1)。

摘　　要：目的探究磁共振扩散加权成像(DWI)联合灌注成像(PWI)成像技术在诊断缺血性脑卒中的临床价值。方法将2015年1月至2017年12月我院收治的47例缺血性脑卒中患者纳入本研究。采用Excel表格将本研究患者相关信息进行统计后,根据患者疾病类型将患者分为心源性缺血性脑卒中组(23例)和非心源性缺血性脑卒中组(24例)。两组患者均实施DWI联合PWI成像技术,诊断结束后对研究的结果进行统计和处理。结果非心源性缺血性脑卒中组影像学特征中ADC高于心源性缺血脑卒中组,MTT、TTP低于心源性缺血脑卒中组,差异有统计学意义(P<0.05);两组中理论IP区、IC区CBF、ADC比较,差异有统计学意义(P<0.05)。结论对缺血性脑卒中患者实施DWI联合PWI成像技术诊断具有良好应用价值,可有效提高诊断科学性。Objective To explore the clinical value of diffusion-weighted imaging(DWI)combined with perfusion-weighted imaging(PWI)in the diagnosis of ischemic stroke.Methods A total of 47 patients with ischemic stroke admitted in our hospital from January 2015 to December 2017 were selected into the study.After Excel table was applied to the statistics of the patients'information related to this study,the patients were divided into the cardiogenic ischemic stroke group(n=23)and the non-cardiogenic ischemic stroke group(n=24)according to the types of their disease.For both groups of patients the DWI combined with PWI was adopted.After diagnosis,the results of the study were statistically counted and processed.Results ADC in non-cardiogenic ischemic stroke group was higher than that in cardiogenic ischemic stroke group,MTT and TTP were lower than those in cardiogenic ischemic stroke group,the differences were statistically significant(P<0.05).When CBF value and ADC value in theoretical IP area and IC area were compared between the two groups,the differences were statistically significant(P<0.05).Conclusion It is highly advisable to apply the DWI combined with PWI to the diagnosis of ischemic stroke for the relevant patients,which can improve the scientificity of diagnosis effectively.

关 键 词：磁共振扩散加权成像 灌注成像 心源性缺血性脑卒中 非心源性缺血性脑卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R445[医药卫生—临床医学]