CT灌注成像联合MRI诊断超急性期脑梗死患者的价值分析  

Analysis of the Value of CT Perfusion Imaging Combined With MRI in Patients With Hyperacute Cerebral Infarction

作　　者：张竞睿 李南南[1] 刘志鹏[1] 卢杉 李超[1] 李延皎[1] ZHANG Jingrui;LI Nannan;LIU Zhipeng;LU Shan;LI Chao;LI Yanjiao(Department of CT Room,Heilongjiang Provincial Hospital,Harbin Heilongjiang 150036,China)

机构地区：[1]黑龙江省医院CT室,黑龙江哈尔滨150036

出　　处：《中国卫生标准管理》2023年第7期156-160,共5页China Health Standard Management

基　　金：黑龙江省卫生健康委科研课题(20210909010231)。

摘　　要：目的探讨CT灌注成像联合MRI在超急性期脑梗死患者的诊断价值。方法选择2020年9月—2022年11月于黑龙江省医院急诊科就诊的超急性期脑梗死患者56例,所有患者均行多层螺旋CT灌注成像联合MRI成像及单纯MRI扫描,分析多层螺旋CT灌注成像联合MRI及单纯MRI扫描的诊断结果及CT灌注成像联合MRI成像对超急性期脑梗死患者的检出率、病灶检出数目和病灶位置等情况。结果多层螺旋CT灌注成像联合MRI成像检出超急性期脑梗死患者53例,检出率为94.64%(53/56),单纯MRI成像检查超急性期脑梗死37例,检出率为66.07%(37/56),差异有统计学意义(P<0.05)。多层螺旋CT灌注成像联合MRI成像检查出梗死灶82例,单纯MRI成像检查出梗死灶54例,多层螺旋CT灌注成像联合MRI成像相较于单纯MRI成像检出的梗死灶更多。结论多层螺旋CT灌注成像联合MRI成像相较于单纯MRI成像的超急性期脑梗死患者检出率更高、更容易发现梗死病灶。该方法检查效果良好,值得在临床推广应用。Objective To investigate the diagnosis of hyperacute cerebral infarction by multi-slice spiral CT combined with MRI.Methods A total of 56 patients with hyperacute cerebral infarction who were treated in the department of emergency Heilongjiang Provincial Hospital from September 2020 to November 2022.All the patients were enrolled in the study and underwent multi-slice spiral CT perfusion imaging combined with MRI imaging and simple MRI scanning.The diagnostic results of multi-slice spiral CT perfusion imaging combined with MRI and simple MRI scanning were analyzed,Analyze the detection rate of hyperacute cerebral infarction,the number and location of lesions detected by CT perfusion imaging and MRI imaging.Results A total of 53 cases of hyperacute cerebral infarction were detected by multi-slice spiral CT perfusion imaging combined with MRI imaging,the detection rate was 96.64%(53/56),and 37 cases of hyperacute cerebral infarction were detected by MRI imaging alone,the detection rate was 66.07%(37/56),with statistical significance(P<0.05).There were 82 cases of infarction detected by multislice spiral CT perfusion imaging combined with MRI imaging,and 54 cases of infarction detected by MRI imaging alone.Compared with MRI imaging alone,multi-slice spiral CT perfusion imaging combined with MRI imaging detected more infarction,and the difference was statistically significant.Conclusion Compared with MRI imaging alone,multi-slice spiral CT perfusion imaging combined with MRI imaging has higher detection rate of hyperacute cerebral infarction,more cases of detected lesions,and is easier to detect multiple cases of lesions.This method has good results and is worth popularizing in clinic.

关 键 词：螺旋CT 灌注成像 超急性期脑梗死 MRI 梗死灶 检出率 

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