腔隙性脑梗死应用CT与核磁共振检查的诊断对比  

Comparison of Diagnosis Between CT and MRI in Lacunar Cerebral Infarction

作　　者：侯艺勇 黄莹[1] 梁礼平 周一帆[1] 朱露林[1] 郑一玲 刘昌建 HOU Yi-yong;HUANG Ying;LIANG Li-ping;ZHOU Yi-fan;ZHU Lu-lin;ZHENG Yi-ling;LIU Chang-jian(Radiological Diagnosis Department of the 910th Hospital of the Joint Logistics Support Force of the People’s Liberation Army of China,Fujian Quanzhou 362000)

机构地区：[1]中国人民解放军联勤保障部队第九一〇医院放射诊断科,福建泉州362000

出　　处：《中国医疗器械信息》2024年第24期115-117,共3页China Medical Device Information

摘　　要：目的:探究CT与核磁共振检查在腔隙性脑梗死患者诊断中的应用价值。方法:以2023年4月~2024年4月为数据截取区间,遴选其中本院收治的72例疑似腔隙性脑梗死患者,均分别接受CT与核磁共振检查,观察分析两种检查方法诊断结果。结果:核磁共振诊断腔隙性脑梗死的准确率为94.44%、敏感度为95.45%、特异度为83.33%,均较CT检查更高(P均>0.05)。核磁共振对发病时间<24h的腔隙性脑梗死检出率100.00%明显较CT检查更高(χ2=4.075,P<0.05)。核磁共振对腔隙性脑梗死的检出梗死直径更大、病灶数量更多、检出时间更长、检查费用更高(P均<0.05)。结论:CT和核磁共振在腔隙性脑梗死患者的诊断中各有优势和局限,基于整体诊断价值分析,核磁共振相对更高。Objective:To explore the application value of CT and MRI in the diagnosis of lacunar cerebral infarction.Methods:Taking April 2023 to April 2024 as the data interception interval,72 patients with suspected lacunar cerebral infarction in our hospital were selected,all of whom were examined by CT and MRI respectively,and the diagnosis results of the two methods were observed and analyzed.Results:The accuracy,sensitivity and specificity of MRI in the diagnosis of lacunar cerebral infarction were 94.44%,95.45%and 83.33%,which were higher than those of CT(P>0.05).The detection rate of 100.00%of lacunar cerebral infarction with onset time less than<24h was significantly higher than that of CT(χ2=4.075,P<0.05).Magnetic resonance imaging(MRI)can detect lacunar cerebral infarction with larger infarction diameter,more lesions,longer detection time and higher examination cost(P<0.05).Conclusion:CT and MRI have their own advantages and limitations in the diagnosis of lacunar cerebral infarction.Based on the overall diagnostic value analysis,MRI is relatively higher.

关 键 词：腔隙性脑梗死 CT 核磁共振 诊断结果 诊断效能 

分 类 号：R445.2[医药卫生—影像医学与核医学]