视神经损伤128排CT检查及多平面重建的影像特征及其临床应用探讨

To investigate image characteristics and clinical application of 128-slice CT scanning and multiplanar reconstruction on optic nerve injury

目的:探讨视神经损伤128排CT检查及多平面重建的影像特征及其临床应用状况.方法:选取2013-09/2015-04山东省枣庄市矿业集团中心医院收治的视神经损伤患者32例作为研究对象,回顾性分析其临床资料,患者均接受128排螺旋CT检查和MRI检查,分析其检查结果.结果:128排CT检出率为78.13%,明显高于MRIT1WI检出率50%,差异具有统计学意义(χ2=16.7253,P=0.00000),螺旋CT检出率和STIR保持一致,和T2WI检出率比较,差异无统计学意义(P>0.05).结论:临床诊断视神经损伤疾病可考虑采用128排螺旋CT进行检查,此方式可清晰显示视神经损伤位置状况和体征,为疾病的治疗提供一定依据.

AIM： To investigate the imaging characteristics and clinical application of 128-slice CT scanning and multiplanar reconstruction on optic nerve injury. METHODS： A total of 32 cases of patients with optic nerve injury admitted into Central Hospital of Zaozhuang Mining Group from September 2013 to April2015 were selected as objects of study. The clinical data of patients were retrospectively analyzed. All patients received 128-slice spiral CT and MRI examination,then the examination results were analyzed. RESULTS： The detection rate of 128-slice CT was 78.13%,which was obviously higher than 50.00% of T1 WI,and the difference was statistically significant（ χ2= 16.7253,P =0.00000）,and the detection rate of spiral CT was in accordance with STIR,compared with detection rate of T2 WI,there was no statistically significant difference（ P〈0. 05）. CONCLUSION：128-slice spiral CT examination can be considered as a method for clinical diagnosis of optic nerve injury disease,which can display the position and physical sign of optic nerve injury,and provide a basis for disease treatment.