头颅磁共振在脑血管性痴呆患者中的诊断价值  

Diagnostic Value of Cranial Magnetic Resonance Imaging in Patients with Cerebrovascular Dementia

作　　者：林淑茗 LIN Shu-ming(Fuzhou Neuropsychiatric Hospital of Fujian Province,Fujian Fuzhou 350008)

机构地区：[1]福建省福州神经精神病防治院,福建福州350008

出　　处：《中国医疗器械信息》2021年第10期90-91,共2页China Medical Device Information

摘　　要：目的:分析头颅磁共振在脑血管性痴呆患者中的诊断价值。方法:选取2018年1月~2020年10月本院收治的44例脑血管性痴呆患者,再选择同期接收的44例阿尔茨海默病患者,前者为观察组,后者为对照组,均采取头颅磁共振检查。总结其检查结果,对颞叶沟回间距以及左右两侧海马体积,大脑左右径进行探讨。结果:经头颅磁共振检查结果,观察组颞叶沟回间距为(26.16±0.95)mm,左侧海马体积为(2.24±0.14)cm^(3),右侧海马体积为(2.41±0.21)cm^(3),大脑左右径为(131.29±1.01)mm,对照组颞叶沟回间距为(28.87±0.62)mm,左侧海马体积为(1.95±0.14)cm^(3),右侧海马体积为(2.03±0.19)cm^(3),大脑左右径为(131.27±1.15)mm,数据显示,观察组颞叶沟回间距与对照组相比较小,而左右侧海马体积则较大,P<0.05,比较数据存在统计学意义。大脑左右径相比,P>0.05,对比数据不存在统计学意义。结论:在脑血管性痴呆患者的诊断中利用头颅磁共振检查,可以有效地观察患者的颞叶、左右侧海马等,从而了解与阿尔茨海默病患者的脑部特点差异,准确鉴别脑血管性痴呆患者,提高诊断效率,为临床治疗提供重要的依据,值得应用。Objective:To analyze the diagnostic value of cranial magnetic resonance imaging in patients with cerebrovascular dementia.Methods:44 patients with cerebrovascular dementia admitted to our hospital from January 2018 to October 2020 were selected,and 44 patients with Alzheimer’s disease received in the same period were selected.The former was the observation group,and the latter was the control group.The space between the sulcus gyri of temporal lobe,the volume of hippocampus on both sides and the left and right diameter of brain were discussed.Results:In the observation group,the space between temporal sulcus gyrus was(26.16±0.95)mm,the volume of left hippocampus was(2.24±0.14)cm^(3),the volume of right hippocampus was(2.41±0.21)cm^(3),the left and right brain diameter was(131.29±1.01)mm,the distance between temporal lobe sulcus gyrus was(28.87±0.62)mm,the volume of left hippocampus was(1.95±0.14)cm^(3),the volume of right hippocampus was(2.03±19)cm^(3),the left and right cerebral diameter was(131.27±1.15)mm,the data showed that the distance between temporal lobe sulcus gyrus of the observation group was smaller than that of the control group,while the volume of left and right hippocampus was larger,P<0.05,the comparison data had statistical significance.There was no significant difference between left and right brain diameter(P>0.05).Conclusion:In the diagnosis of cerebrovascular dementia,the use of head MRI can effectively observe the temporal lobe,left and right hippocampus of patients,so as to understand the brain characteristics of Alzheimer’s disease,accurately identify patients with cerebrovascular dementia,improve the diagnostic efficiency,provide important basis for clinical treatment,which is worthy of application.

关 键 词：脑血管性痴呆患者 诊断 头颅磁共振 海马体积 颞叶沟回间距 大脑左右径 

分 类 号：R445.2[医药卫生—影像医学与核医学]