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目的:通过对照腔隙性脑梗死时核磁共振和256层螺旋CT的不同表现,根据256层螺旋CT数据核磁共振数据,讨论两者在腔隙性脑梗死诊断中表现出的优点和价值体现。方法:本文选取2013年5月~2014年5月我院腔隙性脑梗死患者进行核磁共振及CT影像学资料的腔隙性脑梗死患者60例本组60例患者都进行CT和MRI检查。分析CT及MRI图形,记录病灶数量,将两组方法进行分析和对比,比较两者优劣势。结果:256层螺旋CT检查结果:枕叶病灶数量4个,颞叶病灶数量2个,小脑病灶数量4个,顶叶病灶数量3个,额叶病灶数量5个,丘脑病灶数量9个,脑干病灶数量7个,基底节区病灶数量10个;MRI检测结果显示:枕叶病灶数量4个,颞叶病灶数量6个,小脑病灶数量7个,顶叶病灶数量8个,额叶病灶数量11个,丘脑病灶数量14个,脑干病灶数量15个,基底节区病灶数量18个。通过对比两者数据看出:MRI检测出病灶数量为83个,256层螺旋CT检查出病灶数量43个。256层螺旋CT检查病灶数量结果与MRI比较,差异有统计学意义(P<0.05)。结论:核磁共振对腔隙性脑梗死的检测更全面,有较高的诊断价值值得推广。
OBJECTIVE: To compare the performance of MRI and 256-slice spiral CT in lacunar infarction and to discuss the advantages and values of the two in the diagnosis of lacunar infarction based on the 256-slice spiral CT data. Methods: 60 patients with lacunar infarction who underwent MRI and CT imaging data from May 2013 to May 2014 in our hospital for lacunar infarction were selected for CT and MRI examinations. Analysis CT and MRI graphics, record the number of lesions, the two groups of methods for analysis and comparison, the advantages and disadvantages of both. Results: The results of 256-slice spiral CT showed that the number of occipital lobe lesions was 4, the number of temporal lobe lesions was 2, the number of cerebellar lesions was 4, the number of parietal lobe lesions was 3, the number of frontal lobe lesions was 5, the number of thalamus lesions was 9, There were 7 dry lesions and 10 basal ganglia lesions. The results of MRI showed that the number of occipital lobe lesions was 4, the number of temporal lobe lesions was 6, the number of cerebellar lesions was 7, the number of parietal lobe lesions was 8, and the number of frontal lobe lesions 11, the number of thalamic lesions 14, the number of brain stem lesions 15, the number of basal ganglia lesions 18. By comparing the data of the two, it can be seen that the number of lesions detected by MRI was 83 and the number of lesions detected by 256-slice spiral CT was 43. The results of 256-slice spiral CT examination of lesions compared with MRI, the difference was statistically significant (P <0.05). Conclusion: MRI is more comprehensive for the detection of lacunar infarction, which is worth to be popularized.