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MRI在轻型颅脑损伤诊断中的临床意义
引用本文:刘策刚,陶进,许安定,徐善水,潘先文,戴易,贺崇欣. MRI在轻型颅脑损伤诊断中的临床意义[J]. 实用全科医学, 2003, 1(3): 172-173
作者姓名:刘策刚  陶进  许安定  徐善水  潘先文  戴易  贺崇欣
作者单位:皖南医学院弋矶山医院神经外科 241001芜湖市(刘策刚,陶进,许安定,徐善水,潘先文,戴易),皖南医学院弋矶山医院神经外科 241001芜湖市(贺崇欣)
摘    要:目的 探讨MRI在轻型颅脑损伤诊断中的作用。方法 回顾分析近 2年 9例诊断为轻型颅脑损伤患者 ,伤后不同时期颅脑CT扫描及MRI检查的资料。结果  9例患者伤后多次颅脑CT检查均为正常 ,而MRI检查表现为出血性改变 4例 ,T1W像为高信号 ,T2W像为高信号 ;表现为非出血性改变 5例 ,T1W像为等信号 ,略低信号 ,T2W像及液体衰减反转恢复序列 (fluid -attenuatedinversionrecovery ,FLAIR)为高信号。 结论 在轻型颅脑损伤诊断中MRI检查能提高出血性病灶及非出血性损伤的检出率 ,并可以避免一些漏诊。

关 键 词:颅脑损伤  诊断  磁共振成像
修稿时间:2003-04-24

Significance of MRI Scan in Diagnosis of Minor Brain Injury
LIU Cegang,TAO Jin,XU Anding,et al.. Significance of MRI Scan in Diagnosis of Minor Brain Injury[J]. Applied Journal Of General Practice, 2003, 1(3): 172-173
Authors:LIU Cegang  TAO Jin  XU Anding  et al.
Affiliation:LIU Cegang,TAO Jin,XU Anding,et al. Department of Neurosurgery,Yijishan Hospital Affiliated to Wannan Medical College,Anhui 241001
Abstract:Objective To investigate the significance of MRI scan in the diagnosis of minimal brain injury. Methods The clinical data of 9 cases with minimal brain injury diagnosed by CT and MRI scan were reviewed retrospectively. Results In 9 cases, CT images indicated normal tissue after injury times without number, but MRI images showed hemorrhagic contusion in 4 cases (hyper-intense signal lesions both on T1WI and T2WI) and non- hemorrhagic contusion in 5 cases(iso-intense or slight hypo-intense signal on T1WI, hyper-intense signal on T2WI and FLAIR sequence). Conclusions MRI scan may enhance the detecting rate of hemorrhagic contusion obviously, and diminish the rate misdiagnosis.
Keywords:Brain injury  Diagnosis  Magnetic resonance imaging (MRI)
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