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MRI联合CT在脑静脉窦血栓中的诊断价值

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目的:探讨MRI联合CT在脑静脉窦血栓(CVST)中的诊断价值。方法:选取 2021 年 6 月—2023 年 6 月连云港市第一人民医院影像科收治的 86 例疑似CVST患者作为研究对象。根据数字减影血管造影(DSA)检测结果将其分CVST组(n=70)和非CVST组(n=16)。所有患者均进行CT及MRI检查。统计不同检查方法CVST具体部位诊断结果,统计CT、MRI及联合检测对CVST的诊断结果。分析CT、MRI及联合检测对CVST的诊断效能。结果:DSA明确诊断CVST共计70例,CT诊断符合55例,MRI诊断符合60例,CT联合MRI诊断符合65例。CT诊断55例与DSA结果一致,有18例误判。MRI诊断 60 例与DSA结果一致,有 11 例误判。CT联合MRI诊断 65 例与DSA结果一致,有 6 例误判。CT联合MRI准确率高于CT,差异有统计学意义(P<0。05)。结论:CT联合MRI对CVST诊断准确率较高,且较CT和MRI检查手段的单独应用更为精准。
The Diagnostic Value of Combined MRI and CT in Cerebral Venous Sinus Thrombosis
Objective:To investigate the diagnostic value of MRI combined with CT in cerebral venous sinus thrombosis(CVST).Method:A total of 86 suspected CVST patients admitted to the Imaging Department of the Lianyungang First People's Hospital from June 2021 to June 2023 were selected as the study objects.According to the DSA test results,they were divided into CVST group(n=70)and non-CVST group(n=16).CT and MRI were performed in all patients.The diagnosis results of CVST in specific parts of different examination methods was counted.The diagnosis results of CVST by CT,MRI and combined detection was counted.The diagnostic efficacy of CT,MRI and combined detection of CVST was analyzed.Result:A total of 70 CVST cases were definitively diagnosed by DSA,including 55 cases with CT diagnosis,60 cases with MRI diagnosis,and 65 cases with CT combined with MRI diagnosis.CT diagnosis was consistent with DSA results in 55 cases,and there were 18 cases of misjudgment.MRI diagnosis was consistent with DSA results in 60 cases,and there were 11 cases of misjudgment.The results of CT combined with MRI were consistent with DSA in 65 cases,and there were 6 cases of misjudgment.The accuracy of CT combined with MRI was higher than that of CT,and the difference was statistically significant(P<0.05).Conclusion:The diagnosis accuracy of CVST by CT combined with MRI is higher and more accurate than that by CT and MRI alone.

Cerebral venous sinus thrombosisMRICTDigital subtraction angiography

王德华

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连云港市第一人民医院 江苏 连云港 222000

脑静脉窦血栓 MRI CT 数字减影血管造影

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(8)
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