早期腔隙性脑梗死行CT和MRI检查的临床诊断价值

The Value of CT and MRI in the Diagnosis of Early Lacunar Infarction

目的对比研究CT和MRI两种不同影像学技术在早期腔隙性脑梗死患者病情诊断中的临床价值。方法方便选择2018年6月-2019年6月在该院接受治疗后被确诊为早期腔隙性脑梗死患者60例作为该次研究观察对象,以患者接受的影像学检查方法的不同,将其分成对照组和研究组。对照组治疗前接受CT检查;研究组治疗前接受MRI检查。对比两组检查操作时间、对检查方案的满意度、检查结果的符合率、误诊和漏诊情况、病情诊断原因导致的纠纷事件例数。结果研究组研究对象影像学检查操作时间长于对照组,差异有统计学意义(t=13.728,P<0.05);对检查方案的满意度达到93.3%,高于对照组的76.7%,差异有统计学意义(χ^2=4.350,P<0.05);检查结果与证实结果的符合率达到93.3%,高于对照组的73.3%,差异有统计学意义(χ^2=4.410,P<0.05);误诊和漏诊例数少于对照组,差异有统计学意义(P<0.05);诊断检查诱发的纠纷事件仅1例,少于对照组的6例(χ^2=4.350,P<0.05)。结论应用MRI技术对早期腔隙性脑梗死患者实施诊断的作用明显,相较于CT检查,在检查时间方面会有所延长,但是这一检查的准确性明显提高,并且可有效降低了误诊和漏诊的发生率,纠纷事件的发生率得到有效控制,患者对诊断工作的满意度也因此得到显著提高。

Objective To compare the clinical value of CT and MRI in the diagnosis of early lacunar infarction.Methods Convenient select From June 2018 to June 2019,60 patients who were diagnosed as early lacunar cerebral infarction after being treated in the hospital were selected as the observation objects of this study.According to the different imaging examination methods,the patients were divided into control group and study group.The control group received CT examination before treatment and the study group received MRI examination before treatment.The two groups were compared in terms of operation time,satisfaction with the examination plan,the coincidence rate of examination results,misdiagnosis and missed diagnosis,and the number of disputes caused by the diagnosis of the disease.Results The operation time of imaging examination in the study group was longer than that in the control group,the difference was statistically significant(t=13.728,P<0.05);the satisfaction of the examination scheme was 93.3%,higher than 76.7%in the control group,the difference was statistically significant(χ^2=4.350,P<0.05);the coincidence rate of the examination results and the confirmed results was 93.3%,higher than 73.3%in the control group,the difference was statistically significant(χ^2=4.410,P<0.05);the number of misdiagnosis and missed diagnosis was less than that of the control group,the difference was statistically significant(P<0.05);only one case of dispute event induced by diagnostic examination was less than that of the control group(χ^2=4.350,P<0.05).Conclusion The application of MRI technology in the diagnosis of patients with early lacunar infarction has a significant effect.Compared with CT examination,the examination time will be extended,but the accuracy of this examination is significantly improved,and it can effectively reduce misdiagnosis and missed diagnosis.The incidence of disputes and incidents have been effectively controlled,and patient satisfaction with diagnostic work has been significantly improved.