首页|磁共振检查对缺血性脑血管病诊断准确率及术后不良反应的影响

磁共振检查对缺血性脑血管病诊断准确率及术后不良反应的影响

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目的:围绕缺血性脑血管病(CVD)患者,采用核磁共振(MRI)方法进行检查,评定其诊断准确率,分析其对术后不良反应所产生的影响.方法:选取2021年1月~2022年12月疑似CVD患者180例,开展核磁共振扫描检查,对其影像学表现进行观察,将数字减影血管造影(DSA)检查结果当作金标准,分析核磁共振对CVD诊断的效能,并探讨患者术后不良反应情况.结果:用MRI对不同分类CVD进行扫描,均有典型的影像学表现.MRI诊断CVD的特异度为78.13%,准确度88.06%,灵敏度91.18%.所有患者均基于MRI下行经皮血管内支架成形术(PTAS)治疗,术后仅发生1例假性动脉瘤,1例足背动脉搏动减弱,未有其他严重不良反应发生.结论:CVD患者实施MRI检查,诊断准确率高,辅以治疗,可减少术后不良反应的发生.
The Impact of Magnetic Resonance Imaging on the Diagnostic Accuracy and Postoperative Adverse Reactions of Ischemic Cerebrovascular Disease
Objective:To investigate patients with ischemic cerebrovascular disease(CVD)using magnetic resonance imaging(MRI)to assess their diagnostic accuracy and analyze their impact on postoperative adverse reactions.Methods:180 suspected CVD patients(January 2021 to December 2022)were selected for magnetic resonance imaging examination,and their imaging manifestations were observed.The results of digital subtraction angiography(DSA)were used as the gold standard to analyze the effectiveness of magnetic resonance imaging in the diagnosis of CVD and explore the postoperative adverse reactions of patients.Results:The results showed typical imaging findings when MRI was used to scan different types of CVD.The specificity,accuracy,and sensitivity of MRI in diagnosing CVD were 78.13%,88.06%,and 91.18%,respectively.All patients were treated with percutaneous transluminal angioplasty(PTAS)using MRI.After the surgery,only 1 pseudoaneurysm occurred,and 1 patient had decreased pulsation of the dorsal foot artery.There were no other serious adverse reactions.Conclusion:MRI examination for CVD patients has a high diagnostic accuracy,and treatment can reduce the occurrence of postoperative adverse reactions.

ischemic cerebrovascular diseasenuclear magnetic resonanceaccuracyadverse reactions

何银章、黄清海、王俊杰

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福建省漳州市云霄县云霄中医院放射影像科(福建 漳州 363300)

福建省厦门市第三医院放射影像科(福建 厦门 361100)

福建省漳州市医院放射影像科(福建 漳州 363000)

缺血性脑血管病 核磁共振 准确率 不良反应

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(8)
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