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弥散加权成像图像联合经颅多普勒超声在脑梗死伴眩晕患者中的诊断价值。

Diffusion-Weighted Imaging Image Combined with Transcranial Doppler Ultrasound in the Diagnosis of Patients with Cerebral Infarction and Vertigo.

机构信息

Department of Neurology and Psychiatry, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.

Department of Emergency, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.

出版信息

Contrast Media Mol Imaging. 2022 Jun 30;2022:5313238. doi: 10.1155/2022/5313238. eCollection 2022.

Abstract

This study aimed at exploring the application value of diffusion-weighted imaging (DWI) combined with transcranial Doppler (TCD) in the diagnosis of patients with cerebral infarction and vertigo (CI + V). In this article, using a retrospective case-control study, 100 CI + V patients (CI + V group) were examined by DWI combined with TCD. Seventy cases of noncerebral infarction with vertigo (control group) who were hospitalized at the same time were collected for clinical data analysis and comprehensive evaluation of each index. The results showed that in patients with CI + V, the abnormal rate of blood vessels was proportional to the size of the lesion, and the abnormal rate of blood vessels in the large-area infarction group (97%) was much higher than that of the small-area infarct group (62%) and the lacunar infarction group (51%). The overall abnormal rate of blood vessels in the CI + V group (71%) was greatly higher than that in the control group (15%), showing a statistically and extremely great difference ( < 0.01). In short, DWI can effectively extract lesion-related data, and combined with TCD examination, the clinical diagnosis of CI + V can be more accurately performed, which had a positive impact on the clinical work of CI + V. This work provided some reference for the clinical effective diagnosis method of CI + V.

摘要

本研究旨在探讨弥散加权成像(DWI)联合经颅多普勒(TCD)在脑梗死伴眩晕(CI+V)患者诊断中的应用价值。本文采用回顾性病例对照研究,对 100 例 CI+V 患者(CI+V 组)行 DWI 联合 TCD 检查,同时收集同期住院的非脑梗死伴眩晕 70 例(对照组)患者的临床资料进行分析,并对各指标进行综合评价。结果显示,在 CI+V 患者中,血管异常率与病灶大小呈正比,大面积梗死组(97%)血管异常率明显高于小面积梗死组(62%)和腔隙性梗死组(51%)。CI+V 组血管总异常率(71%)明显高于对照组(15%),差异具有统计学意义和极显著性( < 0.01)。总之,DWI 能有效提取病灶相关数据,联合 TCD 检查,能更准确地进行 CI+V 的临床诊断,对 CI+V 的临床工作具有积极影响。本研究为 CI+V 的临床有效诊断方法提供了一定的参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a8/9262581/798c480c7fd4/CMMI2022-5313238.001.jpg

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