Zhang Wenbo, Cheng Jingliang, Zhang Yong, Wang Keyan, Jin Hongrui
Department of Magnetic Resonance, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
J Coll Physicians Surg Pak. 2019 Sep;29(9):898-899. doi: 10.29271/jcpsp.2019.09.898.
The aim of this study was to analyse the application value of CT and MRI combined examination for the diagnosis of acute cerebral infarction. It was an observational study carried out from March 2017 to April 2018. All the patients of acute cerebral infarction, diagnosed on the basis of clinical and laboratory findings and underwent brain CT and MRI examination within 6 hours after the onset of the disease, were included in the study. A total of 70 patients were diagnosed, which included 40 (57.14%) males and 30 (42.86%) females. Median age was 64 years. The confirmed diagnosis rate of acute cerebral infarction by CT combined with MRI was higher than that by CT examination alone (p<0.001). The positive rates of the brainstem were statistically different between the two methods (p=0.007). The diameter of infarct lesion in CT combined with MRI was longer than that in CT examination alone (p<0.001). CT combined with MRI can be used as the first choice for early diagnosis of acute cerebral infarction, particularly of brain stem.
本研究旨在分析CT与MRI联合检查对急性脑梗死诊断的应用价值。这是一项于2017年3月至2018年4月开展的观察性研究。所有基于临床和实验室检查确诊为急性脑梗死且在发病6小时内接受脑部CT和MRI检查的患者均纳入本研究。共确诊70例患者,其中男性40例(57.14%),女性30例(42.86%)。中位年龄为64岁。CT与MRI联合诊断急性脑梗死的确诊率高于单纯CT检查(p<0.001)。两种方法对脑干的阳性率存在统计学差异(p=0.007)。CT与MRI联合检查时梗死灶直径长于单纯CT检查(p<0.001)。CT与MRI联合检查可作为急性脑梗死尤其是脑干梗死早期诊断的首选方法。