CT和MRI诊断病毒性脑炎患儿的价值观察

Observation on Value of CT and MRI in the Diagnosis of Children Patients with Viral Encephalitis

目的观察电子计算机断层扫描(Computed tomography,CT)与磁共振成像(Magnetic resonance imaging,MRI)诊断病毒性脑炎(Viral encephalitis,VE)患儿的价值。方法回顾性分析2018年3月至2019年3月我院96例VE患儿的临床资料,均行CT、MRI检查,比较CT、MRI对VE的阳性检出率、异常程度检测结果差异。结果2种方法诊断关联性有统计学意义,均反映同一指标(P<0.05);优势性有统计学意义,MRI对VE的阳性检出率93.75%高于CT 71.88%(P<0.05)。MRI对异常情况检出率高于CT(P<0.05)。结论CT、MRI在VE诊断中均有典型的影像特征,但MRI对VE的阳性检出率更高,对异常情况检出明显高于CT,故MRI在VE诊断中应用价值更高,值得进一步推广。

Objective To observe the value of CT and MRI in the diagnosis of children patients with viral encephalitis(VE). Methods The clinical data of 96 children patients with VE in our hospital from March 2018 to March 2019 were retrospectively analyzed. CT and MRI were performed. The detection results of positive detection rate and abnormalities of VE were compared between CT and MRI. Results The correlation between the two methods was statistically significant, and both reflected the same index(P<0.05). There was a statistically significant difference in the dominance, and the positive detection rate of VE by MRI was higher than that by CT(93.75% vs 71.88%)(P<0.05). The detection rate of abnormalities by MRI was higher than that by CT(P<0.05). Conclusion CT and MRI have typical imaging features in the diagnosis of VE, but the positive detection rate of VE is higher by MRI, and the detection of abnormalities is higher than that by CT. Therefore, MRI has higher application value in VE diagnosis, thus it is worthy of further promotion.