CT与MRI检查在脑梗塞并脑出血诊断与疗效评价中的价值研究

The Value of CT and MRI in the Diagnosis and Curative Effect Evaluation of Cerebral Infarction Complicated with Cerebral Hemorrhage

目的探讨CT与MRI检查在脑梗塞并脑出血诊断与疗效评价中的价值。方法选取我院2015年2月-2016年12月我院经临床确诊的脑梗塞并脑出血患者56例,患者均行CT及MRI扫描,收集患者影像学资料及临床资料,对比患者MRI及CT检查对脑梗塞并脑出血的检出结果,并分析病人的出血部位、出血量以及对临床疗效进行评价。结果 56例患者经CT扫描共检出病灶46例,诊断准确符合率为82.14%,其中出血部位位于基底节41例,位于丘脑10例,位于小脑3例,位于脑干2例;MRI扫描共检出病灶51例,诊断准确符合率为91.07%,共检出72个出血灶,检出率为100%。MRI、CT均能清晰显示患者术后情况,对于术后复发的病灶显示为异常高信号且边界不清。结论 MRI对脑梗塞并脑出血检出率略高于CT,MRI、CT均能良好的监测患者的术后恢复情况,均能良好显示脑梗塞并脑出血的典型影像特征,具有一定的疗效评价价值。

Objective To investigate the value of CT and MRI in the diagnosis and curative effect evaluation of cerebral infarction complicated with cerebral hemorrhage. Methods 56 patients with cerebral infarction and cerebral hemorrhage diagnosed by our hospital in February 2015-2016 December were selected, all patients underwent CT and MRI scanning. The imaging data and clinical data were collected, and the image manifestations of hepatic hemangioma in CT and MRI examination were analyzed,the results of MRI and CT examination in patients with cerebral infarction and cerebral hemorrhage were compared, and the bleeding site, bleeding volume and evaluate the clinical efficacy were analyzed. Results 56 patients underwent CT scan lesions were detected in 46 cases, the accurate diagnostic rate was 82.14%, the site of hemorrhage in the basal ganglia thalamus in 41 cases, 10 cases, 3 cases were located in the cerebellum, brain stem in 2 cases. MRI scan lesions were detected in 51 cases, the accurate diagnostic coincidence rate was 91.07%,a total of 72 bleeding foci were detected, with a detection rate of 100%. MRI and CT can clearly display the patient＇s postoperative situation, and the recurrence of the lesions showed abnormal high signal and unclear boundary. Conclusion The detection rate of MRI for cerebral infarction and cerebral hemorrhage is slightly higher than that of CT, MRI and CT can monitor the postoperative recovery of patients well, and can display the typical image features of cerebral infarction and cerebral hemorrhage, which has certain curative effect evaluation value.