世界复合医学2024,Vol.10Issue(4) :175-178.DOI:10.11966/j.issn.2095-994X.2024.10.04.44

磁共振血管成像与多螺旋CT对缺血性脑卒中的诊断有效性探讨

Diagnostic Effectiveness of Magnetic Resonance Angiography and Multi-spiral CT in Ischemic Stroke

程磊 王玲玲
世界复合医学2024,Vol.10Issue(4) :175-178.DOI:10.11966/j.issn.2095-994X.2024.10.04.44

磁共振血管成像与多螺旋CT对缺血性脑卒中的诊断有效性探讨

Diagnostic Effectiveness of Magnetic Resonance Angiography and Multi-spiral CT in Ischemic Stroke

程磊 1王玲玲1
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作者信息

  • 1. 山东省寿光市人民医院影像中心,山东 寿光 262700
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摘要

目的 探讨磁共振血管成像以及多螺旋CT对缺血性脑卒中患者诊断的有效性以及临床价值.方法 选择2021年10月—2023年10月山东省寿光市人民医院收治的80例疑似缺血性脑卒中患者作为研究对象,所有患者于临床均接受磁共振血管成像诊断以及多螺旋CT诊断,以数字血管减影诊断作为金标准,对比不同检查方法的诊断效能.结果 数字血管减影诊断结果显示,阳性患者42例,阴性患者38例;多螺旋CT诊断出阳性30例,50例为阴性;磁共振血管成像诊断出阳性41例,阴性39例.与多螺旋CT诊断的特异度(73.68%)、灵敏度(47.62%)以及准确度(60.00%)比较,磁共振血管成像的各项诊断效能(97.37%、95.24%、96.25%)更高,差异有统计学意义(χ2=8.609、23.333、30.756,P均<0.05).结论 临床针对缺血性脑卒中患者,应用多螺旋CT以及磁共振血管成像诊断时结果具有差异,磁共振血管成像诊断效能更高,可对缺血性脑卒中的早期诊治奠定基础.

Abstract

Objective To investigate the effectiveness and clinical value of magnetic resonance angiogra-phy and multi-spiral CT in the diagnosis of ischemic stroke patients.Methods A total of 80 patients with sus-pected ischemic stroke admitted to Shouguang People's Hospital of Shandong Province from October 2021 to October 2023 were selected as the research objects.All patients underwent magnetic resonance angiography and multi-spiral CT diagnosis.Digital subtraction angiography was used as the gold standard to compare the di-agnostic efficacy of different examination methods.Results The results of digital subtraction angiography showed that 42 patients were positive and 38 patients were negative.Multi-spiral CT diagnosed 30 positive cases and 50 negative cases.Magnetic resonance angiography diagnosed 41 positive cases and 39 negative cases.Compared with the specificity(73.68%),sensitivity(47.62%)and accuracy(60.00%)of multi-spiral CT diagnosis,the diagnostic efficiencies of magnetic resonance angiography(97.37%,95.24%,96.25%)were higher,and the differences were statistically significant(χ2=8.609,23.333,30.756,all P<0.05).Conclusion The clinical application of multi-spiral CT and magnetic resonance angiography for the diagnosis of ischemic stroke patients has differences in results.Magnetic resonance angiography has higher diagnostic efficiency and can lay the foundation for early diagnosis and treatment of ischemic stroke.

关键词

缺血性脑卒中/多螺旋CT/磁共振血管成像/诊断效能

Key words

Ischemic stroke/Multi-spiral CT/Magnetic resonance angiography/Diagnostic efficiency

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出版年

2024
世界复合医学

世界复合医学

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