颅内肿瘤诊断中的临床与CT相关性
Clinical and CT correlates in the diagnosis of intracranial tumours.
作者信息
Sotaniemi K A, Rantala M, Pyhtinen J, Myllylä V V
机构信息
Department of Neurology, University of Oulu, Finland.
出版信息
J Neurol Neurosurg Psychiatry. 1991 Jul;54(7):645-7. doi: 10.1136/jnnp.54.7.645.
The correlation between clinical and CT findings in cerebral tumours was prospectively studied in 1191 consecutive referrals for cerebral CT. CT revealed a mass lesion in 51 cases (4.3%): 32 neoplasms, five haematomas and one abscess. The diagnostic specificity of CT for neoplasmic tumours was 86% (32 of 37). The clinical suspicion of a cerebral neoplasm was correct in 25 cases (78%) and the clinical localisatory hypothesis was correct in 20 cases (63%) of the neoplasms. A cerebral tumour was found in 5% (11 out of 226) of patients investigated for their first seizure and in 1% (two of 207) investigated for headache without clinical signs.
对1191例连续接受脑部CT检查的患者进行了前瞻性研究，以探讨脑肿瘤临床与CT表现之间的相关性。CT检查发现51例（4.3%）存在占位性病变：32例肿瘤、5例血肿和1例脓肿。CT对肿瘤性肿瘤的诊断特异性为86%（37例中的32例）。对脑肿瘤的临床怀疑在25例（78%）中是正确的，临床定位假设在20例（63%）肿瘤中是正确的。在因首次癫痫发作接受检查的患者中，5%（226例中的11例）发现脑肿瘤；在因无临床体征的头痛接受检查的患者中，1%（207例中的2例）发现脑肿瘤。
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