【摘要】：目的探究核磁共振成像(MRI)與顱腦CT在老年多發(fā)性腦梗死診斷中的應(yīng)用價(jià)值。方法 70例老年多發(fā)性腦梗死患者,隨機(jī)分為觀察組和對(duì)照組,各35例。對(duì)照組實(shí)施CT檢查,觀察組實(shí)施MRI檢查。比較兩組患者腦梗死指標(biāo)檢測情況和腦梗死病灶檢出部位。結(jié)果觀察組病灶大小、數(shù)量、發(fā)病至檢查時(shí)間、檢查時(shí)間分別為(8.34±1.63)mm2、(1.89±0.66)個(gè)、(0.92±0.23)d、(10.15±1.36)min,優(yōu)于對(duì)照組的(11.41±2.78)mm2、(2.62±0.98)個(gè)、(2.01±0.43)d、(18.93±2.65)min,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組額葉、頂葉、顳葉、小腦檢出率分別為48.57%、40.00%、62.86%、74.29%,均高于對(duì)照組的25.71%、17.14%、5.71%、37.14%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);兩組腦室旁、基底節(jié)區(qū)、丘腦檢出率相比差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論與CT檢查相比,MRI在檢查老年多發(fā)性腦梗死中準(zhǔn)確率更高,在早期、多發(fā)性梗死灶、后顱凹梗死灶、較小病灶等方面檢驗(yàn)具有明顯的優(yōu)勢。
[Abstract]:Objective to explore the value of magnetic resonance imaging (MRI) and craniocerebral CT in the diagnosis of senile multiple cerebral infarction. Methods 70 elderly patients with multiple cerebral infarction were randomly divided into observation group (n = 35) and control group (n = 35). CT was performed in the control group and MRI was performed in the observation group. The detection of cerebral infarction index and the location of cerebral infarction lesion were compared between the two groups. Results in the observation group, the size, number and time from onset to examination were (8.34 鹵1.63) mm2, (1.89 鹵0.66) min, (0.92 鹵0.23) d, () 10.15 鹵1.36 min, respectively. Compared with the control group (11.41 鹵2.78) mm2, (2.62 鹵0.98) and (2.01 鹵0.43) d, () 18.93 鹵2.65 min, the difference was statistically significant (P0.05). The detectable rates of frontal lobe, parietal lobe, temporal lobe and cerebellum in the observation group were 48.57 and 40.00and 62.86 and 74.29, respectively, which were higher than that in the control group (25.71 and 17.14). The difference was statistically significant (P0.05). The detectable rate of paraventricular, basal ganglia and thalamus had no significant difference between the two groups (P0.05). Conclusion compared with CT, MRI is more accurate in the diagnosis of senile multiple cerebral infarction, and has obvious advantages in early stage, multiple infarct, posterior fossa infarction, small focus and so on.
【作者單位】： 重慶市巫溪縣人民醫(yī)院;
【分類號(hào)】：R743.3

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