腔隙性脑梗死早期CT和MRI检查的检出率及临床影像学表现分析

The Detection Rate and Clinical Imaging Features of Early CT and MRI in Patients with Lacunar Infarction

目的:探讨腔隙性脑梗死早期CT和MRI检查的检出率及临床影像学表现。方法:选取我院2018年10月~2020年10月期间收治的早期腔隙性脑梗死患者120例,对所有患者进行CT和MRI检查,分析两种方法的检出率以及临床影像学表现。结果:120例患者经CT检查后,在顶叶、额叶、丘脑、基底节、小脑以及内囊和脑干等发病部位共查出236个病灶,经MRI检查后,在顶叶、额叶、丘脑、基底节、小脑以及内囊和脑干等发病部位共查出869个病灶,对比差异有统计学意义(P<0.05),CT检查出直径<5mm病灶14个,直径>5mm病灶222个,MRI检查处直径<5mm病灶364个,直径>5mm病灶505个,CT检查数据与MRI检查数据差异具有统计学意义(P<0.05)。结论:给予早期腔隙性脑梗死患者MRI检查能够更加准确且清晰的发现微小病灶的数量和形态,为临床诊断提供了重要的依据,值得临床推广。

Objective:To investigate the detection rate and clinical imaging manifestations of early CT and MRI in patients with lacunar infarction.Methods:120 patients with early lacunar infarction admitted to our hospital from October 2018 to October 2020 were selected, and all patients were given CT and MRI. Results:after CT examination, 236 lesions were found in parietal lobe, frontal lobe, thalamus, basal ganglia, cerebellum, internal capsule and brainstem, and 869 lesions were found in parietal lobe, frontal lobe, thalamus, basal ganglia, cerebellum, internal capsule and brainstem after MRI examination The difference was statistically significant(P<0.05), CT examination showed 14 lesions with diameter < 5 mm, 222 lesions with diameter > 5 mm, 364 lesions with diameter < 5 mm, 505 lesions with diameter > 5 mm, and the difference between CT and MRI examination data was statistically significant(P<0.05). Conclusion:MRI can more accurately and clearly find the number and shape of small lesions in patients with early lacunar cerebral infarction, which is helpful for clinical diagnosis It is worthy of clinical promotion.