急性胼胝体梗死核磁共振表现及治疗效果分析

Magnetic resonance imaging and its therapeutic effect analysis of acute corpus callosum infarction

目的分析急性胼胝体梗死核磁共振表现与临床表现，为今后的临床诊治工作提供可靠的参考依据。方法抽取2010年1月～2011年12月我院收治的脑梗死患者病例89例，包括急性胼胝体梗死者32例（观察组）和未发生急性胼胝体梗死者57例（对照组），对两组患者展开核磁共振扫描，对比分析检查结果和患者的临床资料。结果观察组32例患者共有35处梗死，32例患者中胼胝体梗死合并陈旧性脑梗死者23例（71．88％），其中多发性20例（86．96％）。孤立性3例（13．04％）；观察组患者合并高血压、冠心病、糖尿病者所占比例较对照组高（P〈0．05），血管狭窄发生率较对照组高（P〈0．05）。结论急性胼胝体梗死的主要危险因素为合并心脑血管疾病，采取核磁共振扫描检查能够对其展开准确诊断，临床应给予关注。

Objective To analyze the magnetic resonance imaging and clinical manifestations of acute corpus callosum infarction,and provide reliable reference for future clinical diagnosis and treatment. Methods 89 cases of cerebral infarction patients from January 2010 to December 2011 in our hospital which including acute corpus callosum infarction of 32 cases （study group） and no acute corpus callosum infarction of 57 cases （control group）,two groups of patients were given MRI scans,the inspection results and clinical data were analyzed. Results 32 patients of observation group were found with total of 35 infarction,and 23 cases（71.88%） combined with obsolete cerebral infarction,of which multiple infarction in 20 cases（86.96%）,isolated infarction in 3 cases （13.04%） ;the statistics analysis show that patients with hypertension,coronary heart disease,diabetes,high proportion in study group were more than control group （P 〈 0.05）,vascular stenosis incidence was higher than control group（P 〈 0.05）. Conclusion The major risk factors for acute corpus callosum infarction is cardiovascular and cerebrovascular diseases,and MRI scan can make accurate diagnosis,should be given clinical attention.