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1、[摘要]目的探讨磁共振成像在出血性脑梗死患者临床诊断中的应用价值。方法随机选取2014年6月一2015年6月期间来该院进行诊治的出血性脑梗死患者120例作为研究对象,120例患者均采取Siemenslmpactl.5TMR成像仪对其病灶进行定位、定性诊断,同时对患者的出血性梗死进行分型,对比分析各个类型出血型脑梗死患者应用磁共振成像的临床诊断准确率。结果120例患者经磁共振成像分析,58例患者脑外周岀血型,占比48%;14例患者为混合型,占比12%;48例患者为脑深部血肿型,占比40%o脑深部血肿型、不规则出血型、脑外周出血型及混合型血性脑梗死患者的磁共振成像诊断准确率分别为10
2、0%>86%、90%和86%,各类型之间的临床诊断准确率相当,差异无统计学意义(P>0.05)o结论磁共振成像技术对出血性脑梗死的早期诊断具有诊断准确率高,适用性广,可显著降低出血性脑梗死误诊率与漏诊率的临床优势,应用价值较高。[关键词]磁共振成像;出血性脑梗死;诊断;应用价值[中图分类号]R5[文献标识码]A[文章编号]1674-0742(2016)02(a)-0185-02AnalysisofClinicalValueofHemorrhagicInfarctionMagneUcResonanceImagingLISha,WUJing,HUYa-huiNuclearMedici
3、neDepartment,ZhengzhouCentralHospital,Zhengzhou,HenanProvince,450000China[Abstract]ObjectiveTodiscusstheapplicationvalueofmagneticresonaneeimagingintheclinicaldiagnosisofhemorrhagicinfaretion.Methods120casesofpatientswithhemorrhagicinfaretiontreatedinourhospitalfromJune2014toJune2015wereselec
4、tedastheresearchobjectandtheirlesionsweregiventhelocatedandqualitativediagnosisbySiemenslmpactl.5TMRformatter,atthesametime,thehemorrhagicinfaretofthepatientswasclassified,theclinicaldiagnoSticaccuracyrateofpatientswithhemorrhagicinfarctionofeachtypewascomparedandanalyzed・ResultsThemagneticre
5、sonaneeimaginganalyzedthatofthe120casesofpatients,58casesbelongedtotheperipheralcerebralhemorrhagetype,accountingfor48%,14casesbelongedtothemixedtype,accountingfor12%,48casesbelongedtothedeepbrainhematomatype,accountingfor40%,thediagnoSticaccuracyrateofmagneticresonanceimagingofpatientswithde
6、epbrainhematomatype,irregularbleedingtype,peripheralcerebralhemorrhagetypeandmixedtypewererespectively100%,86%,90%and86%,theclinicaldiagnoSticaccuracyrateofeachtypeisaboutthesame,andthediffereneewasnotstatisticallysigrdficantbycomparison(P>0.05)・ConclusionThemagneticresonanceimaginghasahighdi
7、agnoSticaccuracyrateintheearlydiagnosisofhemorrhagicinfarctionandtheapplicabilityisextensive,anditcanobviouslydecreasethemisdiagnosisrateandmisseddiagnosisrateofhemorrhagicinfarctionwithhighapplica廿onvalue・[Keywords]Magneticresonanceimaging;H