Diagnostic value of CT and MRI in patients with lacunar cerebral infarction
腔隙性脑梗死患者采用CT与磁共振的诊断价值

摘要

目的 研究腔隙性脑梗死患者CT与磁共振的临床诊断价值。方法 选择2020年12月-2021年12月到本院治疗腔隙性脑梗死的患者共34例，对全部患者实施CT诊断与磁共振诊断，分析诊断价值。结果MRI检出小脑检出29例，脑干检出30例，基底节检出28例，丘脑检出31例，病灶显示结果明显高于CT检查结果（P＜0.05）；MRI检查梗死平均直径、平均病灶检出数量高于CT检查（P＜0.05），但CT检查检出时间、检查所需费用优于MRI检查（P＜0.05）；MRI检查符合率明显高于CT检查（P＜0.05）。结论运用磁共振诊断腔隙性脑梗死符合率较高，但检出时间和花费相对较高，医生可依照患者的实际状况选取适宜的诊断技术。

Abstract

Objective To study the clinical diagnostic value of CT and magnetic resonance in patients with lacunar cerebral infarction.
Methods A total of 34 patients with lacunar cerebral infarction from December 2020 to December 2021, implemented CT diagnosis and MR diagnosis for all patients, and analyzed the diagnostic value.
Results 29 cases were detected in cerebellum, 30 cases in brainstem, 28 cases in basal body and 31 cases in thalamus by MRI. The results of lesion display were significantly higher than those of CT (P < 0.05); The average diameter of infarction and the average number of lesions detected on MRI were higher than those on CT (P < 0.05), but the detection time and cost of CT were better than those on MRI (P < 0.05); The coincidence rate of MRI was significantly higher than that of CT (P < 0.05).
Conclusion   using MRI to diagnose lacunar cerebral infarction has a high coincidence rate, but the detection time and cost are relatively high. Doctors can choose appropriate diagnostic techniques according to the actual situation of patients.