多序列联合应用诊断超早期脑梗死的临床价值分析

目的：分析应用多序列联合的检查方式对超早期脑梗死患者的临床诊断意义。方法：对应用多序列磁共振检查（包括T1W成像、T2W成像、DW成像、FLAIR成像及MRA成像）的超早期脑梗死患者共30例进行回顾性分析，分析成像对超早期脑梗死患者检出的敏感性及MRA分级与梗死面积的关系。结果：DW检出率明显高于其他3种成像的检出率（P〈0．05），而TIW成像、T2W成像及FLAIR成像检出率比较差异无统计学意义（P〉0．05）。MRA动脉显像分级与梗死面积呈正向直线相关，MRA动脉显像分级越高，出现大面积脑梗死越多。结论：多序列联合的检查对超早期脑梗死患者的检出率高，且可对梗死面积进行初步的预测。

Clinical Value of Applying Multisequencing Coalition to Diagnose Ultra Early Cerebral Infarction/

Objective： To analyze clinical diagnosis value of multisequenciug coalition examinations on ultra early cerebral infarction. Method： To retrospectively analyze 30 ultra early cerebral infarction patients who had been examined by multisequencing magnetic resonance （ including TIW imaging, T2W imaging, DW imaging, FLAIR imaging, and MRA imaging ）, imaging sensibility toward ultra early cerebral infarction, and relation of MRA grading with infarct size. Result： Detection rate of DW was obviously higher than those of other three methods （ P〈0.05 ）, while there was no obvious difference between detection rates of T1W imaging, T2W imaging, and FLAIR imaging （ P〉0.05 ） . MRA artery imaging grading had positive linear correlation with infarct size, and the higher the MRA artery imaging grading was, the bigger the infarct size was. Conclusion： Multisequeneing coalition examination has high detection rate toward ultra early cerebral infarction, and it can predict infarct size preliminarily.