文档介绍：双排螺旋CT平扫在腔隙性脑梗塞影像诊断中的价值分析
盐城市滨海县康达医院CT室224500
摘要:目的:分析双排螺旋CT平扫在腔隙性脑梗塞影像诊断中的价
值。方法:对我院2013年1月-2014年12月60例腔隙性脑梗塞患者的CT影像存图及临床资料进行回顾性分析。结果:60例患者中,有高血压病史43例,占 %,单纯性运动性偏瘫31例,感觉性卒中12例,共济失调性偏瘫6例,构音障碍11例。CT显示病灶大小在5-20mm之间,,病灶位于内囊 13例、丘脑17例、脑干5例、豆状核8例、尾状核12例,其他脑叶深部5例, 多发者31例,单发者29例,病灶形态为圆形或卵圆形,CT值为10-30HU,平均为18HU。占位效应轻或无占位效应,随访扫描显示腔隙性脑梗塞同侧脑室或外侧裂池可扩大,中线结构也可以轻度向同侧移位。所有患者的临床与影像表现基木平行。结论:双排螺旋CT平扫多腔隙性脑梗塞的早诊早治具有较高的临床实用价值,值得在基层医院的临床上推广运用。
关键词:双排螺旋CT;平扫;腔隙性脑梗塞
[Abstract]Objective: To analyze the double spiral CT scan imaging in the diagnosis of
lacunar infarction : The hospital in January 2013 - December 2014
analysis of 60 cases of lacunar infarction in patients with CT image memory map and
clinical data were : 60 patients with a history of hypertension
43 cases, accounting for %, 31 cases of simple movement paralysis, sensory
stroke 12 cases, six cases of hemiplegia ataxia,dysarthria 11 showed lesions
between 5-20mm in size,average ,lesions in the internal capsule 13 cases,
17 cases thalamus, brainstem 5 cases,8 cases of lenticular nucleus, caudate nucleus
in 12 cases,the other five cases of deep lobe, Multiple 31 cases, 29 cases of single lesions circular or oval shape, CT value 10-30HU,an average of effect of
light or no mass effect,follow-up scan showed lacunar infarction with the lateral
ventric