探讨CT平扫结合CT血管造影(CTA)诊断大面积急性脑梗塞的临床价值

To Explore the Clinical Value of CT Plain Scan combined with CT Angiography (CTA) in the Diagnosis of Large Area Acute Cerebral Infarction

目的探讨在大面积急性脑梗塞患者诊断中CT平扫结合CT血管造影(CTA)的应用价值。方法将2019年1月至2019年12月期间我院确诊为大面积急性脑梗塞患者80例作为研究对象,所有患者均接受CT平扫结合CT血管造影(CTA)检查。以CT平扫结果为对照组,CT平扫结合CTA联合诊断检查结果为观察组,对比两组诊断结果情况。结果两组诊断准确率具有显著差异,且为观察组较高,差异具有统计学意义(P<0.05);发病时间在(7~12)h者经平扫诊断准确率最高,为83.33%,显著高于其他发病时间者经平扫诊断的准确率,差异具有统计学意义(P<0.05)。结论在对大面积急性脑梗塞疾病进行诊断时,可先通过CT平扫将脑出血或其他病变进行排除,在联合CTA进行确诊,可显著提高临床诊断准确率。

Objective To explore the value of CT plain scan combined with CT angiography (CTA) in the diagnosis of large area acute cerebral infarction.Methods From January 2019 to December 2019,80 patients with large area acute cerebral infarction in our hospital were studied.All patients were examined by CT plain scan combined with CT angiography (CTA).The results of CT plain scan and CTA combined diagnosis were compared in the two groups.Results The diagnostic accuracy of the two groups was significantly different,and the difference was statistically significant (P<0.05).The accuracy rate of plain scan diagnosis was the highest (83.33%) when the onset time was (7-12) h,which was significantly higher than that of other onset time (P<0.05).Conclusion In the diagnosis of large area of acute cerebral infarction,we can exclude cerebral hemorrhage or other diseases by CT plain scan,and make a diagnosis by combining CTA,which can significantly improve the accuracy of clinical diagnosis.