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脑电图与CT鉴别诊断癫痫的应用价值对比

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目的:对比脑电图与CT在癫痫鉴别诊断中的应用价值。方法:选取 2020 年 5 月—2023 年 5 月江门市第三人民医院收治的 80 例疑似癫痫患者作为研究对象,所有患者入院后均接受脑电图与多层螺旋CT检查,以最终诊断结果为金标准,比较两种检查方法的诊断效能。结果:最终诊断结果:80 例疑似癫痫患者中,阳性 53 例,包括原发性癫痫 11 例、继发性癫痫 29 例及隐源性癫痫 13 例;阴性 27 例,包括假性癫痫发作 9 例、分离障碍 11 例及非癫痫性抽搐 7 例。脑电图诊断癫痫的准确率、敏感度、特异度、阳性预测值、阴性预测值分别为 88。75%、92。45%、81。48%、90。74%、84。62%,均高于CT检查的 67。50%、71。70%、59。26%、77。55%、51。61%,差异有统计学意义(P<0。05)。结论:脑电图和CT在癫痫诊断中均具有较高的准确性和特异度,但脑电图更具有优越性。
Comparison of Application Value of Electroencephalography and CT in the Differential Diagnosis of Epilepsy
Objective:To compare the application value of electroencephalography and CT in the differential diagnosis of epilepsy.Method:A total of 80 patients with suspected epilepsy admitted to Jiangmen Third People's Hospital from May 2020 to May 2023 were selected as the study objects.All patients were examined by electroencephalography and multi-slice spiral CT after admission,and taking the final diagnosis result as the gold standard,the diagnostic efficiency of the two methods was compared.Result:The final diagnosis results:among 80 patients with suspected epilepsy,53 cases were positive,including 11 cases of primary epilepsy,29 cases of secondary epilepsy and 13 cases of cryptogenic epilepsy;27 cases were negative,including 9 cases of pseudoseizure,11 cases of dissociative disorders and 7 cases of non-epileptic convulsion.The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of electroencephalography in the diagnosis of epilepsy were 88.75%,92.45%,81.48%,90.74%and 84.62%,respectively,which were higher than 67.50%,71.70%,59.26%,77.55%and 51.61%of CT,the differences were statistically significant(P<0.05).Conclusion:Both electroencephalography and CT have high accuracy and specificity in the diagnosis of epilepsy,but electroencephalography is more advantageous.

ElectroencephalographyCTEpilepsyDiagnostic efficacyApplication value

林海燕、卢仕芬、黄家华、屈国标、李顺长

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江门市第三人民医院 广东 江门 529000

脑电图 CT 癫痫 诊断效能 应用价值

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(15)
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