CT与MRI应用于早期临床分组诊断脑梗塞的价值分析与对比评价

目的研究CT与MRI在脑梗塞早期临床诊断中的价值。方法回顾性分析2014年2月至2015年3月神经内科确诊的110例脑梗塞患者的临床资料,患者均同时接受MRI和CT检查,对比两种检查方法的诊断结果。结果 MRI的脑梗塞检出率(93.64%)高于CT(62.73%),P0.05;MRI在不同梗塞部位脑梗塞的检出率均高于CT,P0.05;上述差异均有统计学意义。病灶形状多为条索状、椭圆及圆形,其中以圆形病灶最多(63.64%),直径≤5mm的病灶约68.01%,MRI图像更清晰。结论 MRI及CT均为重要的脑梗塞诊断手段,于早期脑梗塞而言,前者总检出率、梗塞部位检出率更高,能清晰反应病灶位置、大小、形状等,其临床应用价值更高。

Value Analysis and Comparative Evaluation on Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) Applied In Clinical Grouping and Early Diagnosis of Cerebral Infarction

Objective To explore clinical value of CT and MRI in the diagnosis of early cerebral infarction.Methods Clinical data of 110 patients with cerebral infarction confirmed by Neurology Department of the Hospital from February 2014 to March 2015 were retrospectively analyzed, all the patients retrospective analysis received MRI and CT examinations, and diagnosis results of two inspection methods were compared.Results The detection rate of MRI on cerebral infarction (93.64%) was higher than that of CT (62.73%), P<0.05, The detection rates of MRI on cerebral infarction at different infarction positions were higher than such indexes of CT (P<0.05). These differences were statistically significant. Most of lesion shapes were in funicular, elliptical and circular, the number of ircular lesions (63.64%) were the most, the lesions with diameter ≤5mm approximately hit 68.01%, and their MRI images were clearer.Conclusion MRI and CT are important means of diagnosis on cerebral infarction, general detection rate and infarct detection rate of the former on early cerebral infarction was higher, it can clearly reflect the location, size and shape of lesion, and it delivers higher clinical value.