多层螺旋电子计算机断层扫描在大面积脑梗塞中的临床诊断价值分析  

Analysis of the Clinical Diagnostic Value of Multislice Spiral Computed Tomography in Massive Cerebral Infarction

作　　者：刘芳芳 LIU Fangfang(Department of CT Imaging Diagnosis,Nanyang Central Hospital,Nanyang Henan 473000,China)

机构地区：[1]南阳市中心医院CT影像诊断科,河南南阳473000

出　　处：《临床研究》2024年第12期139-141,共3页Clinical Research

摘　　要：目的探究多层螺旋电子计算机断层扫描(MSCT)在大面积脑梗塞患者的临床诊断价值。方法将2021年12月至2023年12月期间于南阳市中心医院诊治的86例疑似大面积脑梗塞患者设置为研究对象,将磁共振成像(MRI)检查方式作为临床诊断的金标准,患者均使用MSCT与MRI检查,评估MSCT在大面积脑梗塞中的应用价值。结果MRI检测阳性80例、阴性6例,MSCT检测阳性77例、阴性9例,MSCT诊断大面积脑梗塞的准确度、敏感度、特异度分别为96.51%、96.25%、100.00%。MRI与MSCT检出病灶数对比差异无统计学意义(P>0.05)。结论MSCT应用于大面积脑梗塞诊断中具有较高的临床诊断准确率,可以及时为患者临床诊治提供具有科学价值的参考数据,值得临床应用。Objective To explore the clinical diagnostic value of multislice spiral computed tomography(MSCT)in patients with massive cerebral infarction.Methods A total of 86 suspected massive cerebral infarction patients treated at Nanyang Central Hospital from December 2021 to December 2023 were selected as the study subjects.Magnetic resonance imaging(MRI)was used as the gold standard for clinical diagnosis.All patients underwent both MSCT and MRI examinations to evaluate the application value of MSCT in diagnosing massive cerebral infarction.Results MRI detected 80 positive cases and 6 negative cases,while MSCT detected 77 positive cases and 9 negative cases.The accuracy,sensitivity,and specificity of MSCT in diagnosing massive cerebral infarction were 96.51%,96.25%,and 100.00%,respectively.There were no statistically significant differences between the number of lesions detected by MRI and MSCT(P>0.05).Conclusion MSCT demonstrates a high clinical diagnostic accuracy for massive cerebral infarction,providing timely and scientifically valuable reference data for the clinical treatment of patients.Its use is recommended for clinical application.

关 键 词：多层螺旋电子计算机断层扫描 大面积 脑梗塞 临床诊断 

分 类 号：R749.41[医药卫生—神经病学与精神病学]