磁共振成像与CT在脑梗死并发脑出血中的鉴别诊断价值

Differential Diagnostic Value of Magnetic Resonance Imaging and CT in Cerebral Infarction Complicating Cerebral Hemorrhage

目的:探讨磁共振成像(MRI)与CT在脑梗死并发脑出血中的鉴别诊断价值。方法:选取2020年3月—2021年12月烟台市烟台山医院收治的疑似脑梗死并发脑出血患者60例作为研究对象,患者均接受MRI、CT检查,将综合检查和临床观察作为金标准,分析磁共振成像、CT检查结果。结果:60例疑似脑梗死并发脑出血患者经临床综合确诊59例(98.33%),MRI检查诊断符合率、灵敏度、特异度高于CT检查,差异有统计学意义(P<0.05);MRI检出率高于CT检测,差异有统计学意义(P<0.05);MRI检查病灶检出时间、诊断耗时短于CT检测,差异有统计学意义(P<0.05)。结论:临床诊断脑梗死并发脑出血时可采用MRI进行检查,相比于CT检查,其检出准确率更高,能更为精准的诊断病症状况,明确病灶位置状况,为临床诊治疾病提供有力依据。

Objective:To explore the differential diagnostic value of magnetic resonance imaging(MRI)and CT in cerebral infarction complicated by cerebral hemorrhage.Methods:Sixty patients with suspected cerebral infarction complicated by cerebral hemorrhage admitted to Yantai Mountain Hospital from March 2020 to December 2021 were selected as study subjects.Patients were subjected to MRI and CT examinations,and comprehensive examination and clinical observation were used as the gold standard to analyze the results of MRI and CT examinations.Results:Sixty patients with suspected cerebral infarction complicated by cerebral hemorrhage were diagnosed by comprehensive clinical examination in fifty-nine cases(98.33%),and the diagnostic compliance rate,sensitivity and specificity of MRI examination were higher than that of CT examination,and the difference was statistically significant(P<0.05).The MRI detection rate was higher than that of CT detection,and the difference was statistically significant(P<0.05).The detection time and diagnostic elapsed time of MRI lesions were shorter than those of CT detection,and the difference was statistically significant(P<0.05).Conclusion:MRI can be used for clinical diagnosis of cerebral infarction complicated by cerebral hemorrhage,and its detection accuracy is higher than that of CT,which can diagnose the disease more accurately and clarify the location of the lesion,and provide a strong basis for clinical diagnosis and treatment of the disease.