CT结合MRI扫描诊断左侧蝶骨嵴脑膜瘤的临床价值及影像学特征  

Clinical value and imaging features of CT combined with MRI in the diagnosis of left sphenoid ridge meningioma

作　　者：王彦辉[1] 倪良春[2] 李永霞[3] 朱来敏[1] 王唯伟 姜鑫 胡喜斌[1] WANG Yan-hui;NI Liang-chun;LI Yong-xia(Departmen of Imaging,Affiliated Hospital of Jining Medical College,Jining Shandong 272029,China;Department of Cardiac Surgery,Affiliated Hospital of Jining Medical College,Jining Shandong 272029,China;Department of Imaging,Nanjing Pukou Hospital of Traditional Chinese Medicine,Nanjing Jiangsu 210000,China)

机构地区：[1]济宁医学院附属医院影像科,山东济宁272029 [2]济宁医学院附属医院心外科,山东济宁272029 [3]南京市浦口区中医院影像科,江苏南京210000

出　　处：《临床和实验医学杂志》2022年第17期1894-1897,共4页Journal of Clinical and Experimental Medicine

基　　金：山东省中医药科技发展计划项目(编号:2019-0474)。

摘　　要：目的观察CT结合MRI扫描诊断左侧蝶骨嵴脑膜瘤(SWM)的临床价值及影像学特征。方法回顾性选取2019年1月至2021年12月济宁医学院附属医院收治的90例左侧SWM患者作为研究对象,所有患者分别行CT、MRI扫描诊断,对比单一CT(对照组)与CT结合MRI扫描(观察组)对肿瘤形状、位置、水肿程度的检出情况,总结影像学特征。结果两组的扁平状肿瘤检出率比较,差异无统计学意义(P>0.05),但观察组的哑铃状、前颅窝、中颅窝及后颅窝的检出率为10.00%、31.11%、16.67%、8.89%,均明显高于对照组(2.22%、11.11%、3.33%、1.11%),差异均有统计学意义(P<0.05)。观察组对混杂密度、略高密度及高密度检出率为24.44%、23.33%、41.11%,均明显高于对照组(12.22%、8.89%、24.44%),差异均有统计学意义(P<0.05)。两组轻度水肿检出率比较,差异无统计学意义(P>0.05);观察组中度、重度水肿检出率为36.67%、30.00%,分别明显高于对照组(21.11%、16.67%),无水肿检出率为11.11%,明显低于对照组(34.44%),差异均有统计学意义(P<0.05)。结论CT结合MRI扫描应用于左侧SWM诊断,能够对患者肿瘤形态学特点、临床表现予以清晰的显示,反映出水肿严重程度,可为治疗疾病定性诊断及治疗方案选择提供可靠的参考。Objective To use CT plain scan combined with MRI scan to diagnose left sphenoid wing meningioma(SWM),summarize its clinical manifestations and characteristics,and analyze the clinical value of combined diagnosis.Methods A total of 90 patients with left SWM from the Affiliated Hospital of Jining Medical College from January 2019 to December 2021 were retrospectively selected as the research subjects.All patients underwent CT and MRI scans for diagnosis.Observation group The detection of tumor shape,location,and degree of edema,and the imaging characteristics were summarized.Results There was no statistically significant difference in the detection of flat tumors between the two groups(P>0.05),but the detection rates of dumbbell-shaped,anterior cranial fossa,middle cranial fossa and posterior cranial fossa in the observation group were 10.00%,31.11%,16.67%,8.89%,which were higher than those in the control group(2.22%,11.11%,3.33%,1.11%),and the differences were statistically significant(P<0.05).The detection rates of mixed density,slightly high density and high density in the observation group were 24.44%,23.33%,41.11%,which were higher than those in the control group(12.22%,8.89%,24.44%),and the differences were statistically significant(P<0.05).There was no statistically significant difference in the detection rate of mild edema between the two groups(P>0.05),the detection rates of moderate and severe edema in the observation group were 36.67%and 30.00%,which were significantly higher than those in the control group(21.11%and 16.67%),the detection rate of no edema was 11.11%,which was significantly lower than that in the control group(34.44%),and the differences were statistically significant(P<0.05).Conclusion CT plain scan combined with MRI scan can be used in the diagnosis of left SWM,which can clearly display the morphological characteristics and clinical manifestations of the patient's tumor,reflect the severity of edema,and provide a reliable reference for the qualitative diagnosis of the disease and the se

关 键 词：左侧蝶骨嵴脑膜瘤 CT MRI 诊断价值 影像学特征 水肿 密度 

分 类 号：R739.45[医药卫生—肿瘤] R445.2[医药卫生—临床医学] R730.44