MRI联合CT和单一CT相比在脑梗死患者中的诊断效果对比研究

Comparative Study on the Diagnostic Effect of MRI Combined with CT and Single CT in Patients with Cerebral Infarction

目的观察并对比MRI联合CT与单一CT对脑梗死患者的诊断效果。方法选取我院2020年7月至2022年6月期间收治的脑梗死患者200例作为研究对象,根据检查方法的不同分为两组,每组100例,其中采取单一CT检查的患者定义为对照组,采取MRI联合CT检查的患者定义为观察组,对比两组检查结果的差异。结果观察组共检出梗死灶178个,对照组共检出梗死灶140个,且观察组额叶、顶叶、基底节区、丘脑、内囊、脑干梗死灶检出数量均多于对照组,组间对比,差异均具有统计学意义(P<0.05);观察组检查时间长于对照组,检出病灶平均值小于对照组,检查费用高于对照组,组间对比,差异均具有统计学意义(P<0.05);观察组诊断满意度(97.00%)显著高于对照组(78.00%),组间对比差异显著(P<0.05)。结论脑梗死患者诊断中采用MRI联合CT检查或单一CT检查均具有一定的诊断价值,但采取MRI联合CT检查能够提高脑梗死病灶的检出率和诊断准确性,促进患者诊断满意度的提升,改善治疗和预后效果,但检查时间较长,检查费用较高,因此临床应考虑到患者的实际情况选择单一诊断或联合诊断,在时间和经济允许的条件下,建议采取MRI联合CT诊断,具有较高的临床推广价值。

Objective To observe and compare the diagnostic effect of MRI combined with CT and single CT in patients with cerebral infarction.Methods from July 2020 to June 2022 treated 200 cases of cerebral infarction patients as the research object,according to the checking method is divided into two groups,100 cases in each group,to take a single CT examination of these patients were defined as the control group,to take MRI combined CT examination of patients defined as observation group,compared the difference between two groups of test results.Results A total of 178 infarction foci were detected in the observation group,and 140 infarction foci were detected in the control group.The number of infarction foci in the frontal lobe,parietal lobe,basal ganglia,thalamus,internal capsule and brainstem in the observation group were more than those in the control group,and the differences between the groups were statistically significant(P<0.05).The examination time of the observation group was longer than that of the control group,the average value of detected lesions was smaller than that of the control group,and the examination cost was higher than that of the control group,and the differences between the two groups were statistically significant(P<0.05).The diagnosis satisfaction of the observation group(97.00%)was significantly higher than that of the control group(78.00%),and the difference between the two groups was significant(P<0.05).Conclusion MRI combined with CT examination or single CT examination has certain diagnostic value in the diagnosis of patients with cerebral infarction.However,MRI combined with CT examination can improve the detection rate and diagnostic accuracy of cerebral infarction lesions,promote the diagnosis satisfaction of patients,improve the treatment and prognosis effect,but the examination time is long and the examination cost is high.Therefore,single diagnosis or combined diagnosis should be selected according to the actual situation of patients.MRI combined with CT diagnosis is recommended when time and economy allow,which has high clinical promotion value.