不同磁共振成像技术在急性脑梗死动脉血栓患者中的诊断及预后的应用价值
Diagnostic and prognostic value of different magnetic resonance imaging techniques in patients with acute cerebral infarction and arterial thrombosis
卢思奇1
作者信息
- 1. 338001 江西省新余钢铁集团有限公司中心医院放射科
- 折叠
摘要
目的 探讨急性脑梗死动脉血栓患者采用不同磁共振成像(MRI)的疾病检出率及预后情况.方法 将 79 例急性脑梗死动脉血栓患者纳入为研究对象,患者入组时间均为 2021 年 9 月至 2022 年 9 月,所有入组患者均接受常规MRI扫描、磁敏感加权成像(SWI)及弥散加权成像(DWI),将入组患者按照血栓负荷评分(CBS)分为A组(≤5 分,15 例)、B组(6～9 分,30 例)、C组(10 分,34 例).分析常规MRI的SWI、DWI序列下对急性脑梗死动脉血栓诊出率;比较不同组别患者美国国立卫生研究院卒中量表(NIHSS)评分情况;比较不同组别患者随访的预后情况.结果 SWI对急性脑梗死动脉血栓诊出率为 91%(72/79),均高于常规MRI、DWI的79%(62/79)、80%(63/79);A组患者的NIHSS评分为 36.4±3.8 分,B组患者的NIHSS评分为 30.4±3.5 分,C组患者的NIHSS评分24.6±3.0分,C组患者的评分低于B组,且B组低于A组;C组患者预后良好情况为91%(31/34),均高于A组、B组的 80%(12/15)、83%(25/30)(P<0.05).结论 急性脑梗死动脉血栓患者采用SWI的疾病检出率更高,患者的CBS评分越低,神经缺损越严重,预后情况越差.
Abstract
Objective To investigate the disease detection rate and prognosis of patients with acute cerebral infarction and arterial thrombosis using different magnetic resonance imaging(MRI)techniques.Methods Seventy-nine patients with acute cerebral infarction and arterial thrombosis were included in the study.The patients were enrolled from September 2021 to September 2022.All the patients received routine MRI scanning,magnetic sensitivity-weighted imaging(SWI),and diffusion-weighted imaging(DWI).The patients were divided into Group A(≤5 points,15 cases),Group B(6-9 points,30 cases),and Group C(10 points,34 cases)according to the blood clot load score(CBS).To analyze the diagnostic rate of acute cerebral infarction artery thrombosis under SWI and DWI sequence of conventional MRI,and to compare the scores of the National Institutes of Health Stroke Scale(NIHSS)in different groups of patients.The prognosis of patients in different groups was also compared.Results The diagnostic rate of acute cerebral infarction arterial thrombosis by SWI was 91%(72/79),which was higher than 79%(62/79)and 80%(63/79)of conventional MRI and DWI.The NIHSS score of patients in Group A was 36.4±3.8 points,the NIHSS score of patients in Group B was(30.4±3.5)points,the NIHSS score of patients in Group C was(24.6±3.0)points,the score of patients in Group C was lower than that in Group B,and the score of patients in Group B was lower than that in Group A.The good prognosis of patients in group C was 91%(31/34),higher than 80%(12/15)and 83%(25/30)in groups A and B(P<0.05).Conclusion The disease detection rate of acute cerebral infarction patients with arterial thrombosis using SWI is higher.The lower the CBS score of patients,the more serious the nerve defect,and the worse the prognosis.
关键词
脑梗死,急性/动脉血栓/磁共振成像/诊断/预后Key words
Ccerebral infarction,acute/Arterial thrombosis/Magnetic resonance imaging/Diagnosis/Prognosis引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据