CT与MRI应用于急性颅脑损伤的诊断价值对比
王宁
（陕西省合阳县医院磁共振室，陕西 渭南，715300）
浏览次数：79次 下载次数：362次
摘要：
目的 对比分析CT与MRI应用于急性颅脑损伤中的诊断价值。方法 选取我院2014年6月至2015年12月收治的急性颅脑损伤患者50例为研究对象，在患者入院后，所有患者进行CT与MRI检查，并对这两种影像学检查方式的检查结果进行对比分析。结果 两种诊断方式在颅骨骨折、硬膜外血肿、硬膜下血肿的诊断上，差异无统计学意义（P>0.05）；CT对蛛网膜下出血的检出率显著高于MRI，而脑深部挫伤、脑叶挫裂伤的检出率低于MRI（P<0.05）；MRI总检出率为80.71%（113/140），高于CT的55.00%（77/140）（P<0.05）。结论 MRI在急性颅脑损伤中诊断中的检出率要高于CT，CT诊断蛛网膜下出血的检出率高，MRI诊断脑深部挫伤以及脑叶挫裂伤的检出率高，临床上要以患者的实际情况为依据，选择合适的诊断方式进行诊断。
关键词：CT；MRI；急性颅脑损伤
中图分类号：R651.1+5文献标志码：A文章编号：2096-1413(2017)07-0136-02
The diagnostic value comparison of CT and MRI in the diagnosis of acute craniocerebral injury
WANG Ning
(MRI Room, Heyang County Hospital, Weinan 715300, China)
ABSTRACT: Objective To compare and analyze the diagnostic value of CT and MRI in the diagnosis of acute craniocerebral injury. Methods Fifty cases of acute craniocerebral injury patients in our hospital from June 2014 to December 2015 were selected, after the patients admitted the hospital, all the patients received CT and MRI examination, and the results of the two imaging examination were compared and analyzed. Results There were no significant difference in the diagnosis of fracture of skull, epidural hematoma, subdural hematoma between CT and MRI (P>0.05); the detectable rate of subarachnoid hemorrhage in CT was higher than that of MRI, and the detectable rate of deep brain contusion and lumbar laceration were lower than that of MRI (P<0.05); the total detectable rate of MRI was 80.71%(113/140), which was higher than 55.00%(77/140) of CT (P<0.05). Conclusion The detectable rate in acute craniocerebral injury of MRI is higher than that of CT, the detectable rate of subarachnoid hemorrhage in CT is higher, the detectable rate of deep brain contusion and lumbar laceration in MRI is higher, so clinic should choose the appropriate diagnostic methods for diagnosis in the basis of actual situation of the patients.
KEYWORDS: CT; MRI; acute craniocerebral injury
参考文献：
[1] 张银昌.CT与MRI在急性颅脑损伤诊断中的比较与分析[J].世界最新医学信息文摘:连续型电子期刊,2015,15(43):158.
[2] 刘红权,陈艳,朱曼.对比核磁共振与CT用于急性颅脑损伤诊断的临床意义[J].中国实用医药,2015,10(12):75-76.
[3] 韦利娥,罗瑛译.急性颅脑损伤中核磁共振成像与CT诊断价值对比研究[J].现代诊断与治疗,2015,26(20):4682-4683.
[4] 王越.急性颅脑损伤的CT、MRI诊断与鉴别诊断及临床应用比较[J].中国社区医师,2014,30(14):98.
[5] 谭功彪.对比急性颅脑损伤的CT、MRI诊断与鉴别诊断及临床应用效果观察[J].医学美学美容(中旬刊),2015,5(5):216-217.
[6] 王建辉.急性颅脑损伤CT 与MRI诊断的应用比较[J].中国医药指南,2016,14(13):121.
[7] 张文升.急性颅脑损伤的CT、MRI诊断与鉴别诊断及其临床应用比较[J].中西医结合心血管病电子杂志,2014,2(2):103-104.
[8] 刘枫.急性颅脑损伤诊断中MRI与CT技术的应用价值[J].中国实用医药,2016,11(16):49-50.
[9] 胡示超.核磁共振与CT用于急性颅脑损伤的诊断价值[J].影像技术,2015,27(4):17-18.
[10] 彭军,余超,王欢,等.CT与MRI在急性颅脑损伤诊断中的应用价值研究[J].实用心脑肺血管病杂志,2014,22(4):86-87.