發(fā)布時(shí)間：2018-01-06 00:22

  本文關(guān)鍵詞：MRI在診斷彌漫性顱腦軸索損傷應(yīng)用價(jià)值分析　出處：《現(xiàn)代醫(yī)用影像學(xué)》2016年06期 　論文類型：期刊論文

  更多相關(guān)文章： 顱腦軸索損傷 彌漫性 MRI CT

【摘要】：目的:分析彌漫性顱腦軸索損傷患者應(yīng)用MRI診斷的價(jià)值。材料與方法:資料選取本院2015年2月-2016年2月診治彌漫性顱腦軸索損傷96例患者予以回顧性地分析,按照診斷時(shí)所用不同診斷方案分成2組,將應(yīng)用CT診斷42例患者作為對(duì)照組,將應(yīng)用MRI診斷54例患者作為觀察組,對(duì)兩組診斷結(jié)果進(jìn)行觀察與對(duì)比。結(jié)果:MRI影像學(xué)表現(xiàn)為:患者腦白質(zhì)區(qū)出現(xiàn)間質(zhì)腦腫脹與腦水腫;觀察組病灶(腦深部、腦皮層下、非出血與出血)診斷準(zhǔn)確率和陽性診斷率均比對(duì)照組高(P0.05)。結(jié)論:彌漫性顱腦軸索損傷患者應(yīng)用MRI診斷的價(jià)值較高,能夠提高病灶診斷準(zhǔn)確率,尤其對(duì)患者腦深部病灶敏感性較CT高,可為臨床采取有效治療措施提供重要參考,具有較高臨床推廣及應(yīng)用價(jià)值。
[Abstract]:Objective: to analyze the diagnostic value of MRI in patients with diffuse craniocerebral axonal injury. Materials 96 patients with diffuse craniocerebral axonal injury from February 2015 to February 2016 were retrospectively analyzed. According to the different diagnostic schemes used in the diagnosis, 42 patients were divided into two groups. 42 patients were diagnosed by CT as control group, and 54 patients were diagnosed by MRI as observation group. The diagnostic results of the two groups were observed and compared. Results the MRI findings were as follows: interstitial brain swelling and brain edema appeared in the white matter area of the patients; The lesions in the observation group (deep brain, subcortical). The diagnostic accuracy and positive rate of MRI in patients with diffuse craniocerebral axonal injury were higher than those in the control group (P 0.05). Conclusion: the diagnostic value of MRI in patients with diffuse craniocerebral axonal injury is higher than that in the control group. It can improve the accuracy of diagnosis, especially the sensitivity of patients with deep brain lesions is higher than that of CT. It can provide an important reference for clinical effective treatment, and has a high clinical promotion and application value.
【作者單位】： 山東省墾利縣人民醫(yī)院放射科;
【分類號(hào)】：R651.15;R445.2
【正文快照】： 伴隨經(jīng)濟(jì)與交通事業(yè)發(fā)展,高空墜傷、車禍傷發(fā)生率不斷上升,其中顱腦外傷比例隨之增長(zhǎng);彌漫性顱腦軸索損傷為因頭部受到加速旋轉(zhuǎn)外力重創(chuàng),于剪切力下導(dǎo)致腦內(nèi)神經(jīng)軸索斷裂、毛細(xì)血管損傷而引起的原發(fā)腦實(shí)質(zhì)性損傷,具有高重殘率與死亡率等特點(diǎn),臨床盡早采取有效診斷和治療方法對(duì)

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1 王一公,王冠軍,薛紅娜;顱腦損傷中的腦軸索損傷診治體會(huì)[J];臨床醫(yī)學(xué);1999年05期

2 ;[J];;年期

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本文編號(hào)：1385513