CT诊断颅脑肿瘤的临床应用价值.pdf
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1、37中国实用医药2021年8月第16卷第24期China Prac Med, Aug 2021, Vol. 16, No. 24CT 诊断颅脑肿瘤的临床应用价值王科星【摘要】 目的分析 CT 诊断颅脑肿瘤的临床应用价值。方法80 例疑似颅脑肿瘤患者为研究对 象 , 均行 CT 检查。以病理诊断为金标准 , 观察 CT 诊断颅脑肿瘤的敏感性、特异性、准确性。比较不同颅脑肿瘤分型患者肿瘤组织与正常侧组织的增强高度、对比剂通过时间、峰值时间、局部脑血流量、局部脑血容量。结果80 例疑似颅脑肿瘤患者 , 经病理诊断确诊颅脑肿瘤 72 例 , 经 CT 诊断确诊颅脑肿瘤 74 例。CT 诊断颅脑肿瘤的敏
2、感性为 98.61%(71/72)、特异性为 62.50%(5/8)、准确性为 95.00% (76/80)。经病理诊断 , 确诊脑膜瘤 24 例、脑转移瘤 26 例、脑胶质瘤 22 例 , 利用 CT 均可准确分辨。经CT 检查显示 , 脑膜瘤、脑转移瘤、脑胶质瘤患者的肿瘤组织与正常侧组织的增强高度、峰值时间、局部脑血流量、局部脑血容量比较 , 差异具有统计学意义 (P0.05)。脑膜瘤患者肿瘤组织的增强高度、局部脑血流量、局部脑血容量高于脑胶质瘤及脑转移瘤患者的肿瘤组织 , 脑胶质瘤患者肿瘤组织的增强高度、局部脑血流量、局部脑血容量高于脑转移瘤患者的肿瘤组织 , 差异具有统计学意义 (P0
3、.05)。脑膜瘤、脑转移瘤、脑胶质瘤患者正常侧组织的增强高度、对比剂通过时间、峰值时间、局部脑血流量、局部脑血容量两两比较 , 差异无统计学意义 (P0.05)。结论CT 诊断具有操作方便、准确性高、无创伤性的优势 , 将其应用于颅脑肿瘤患者的诊断中 , 敏感性、特异性、准确性均较高 , 具有临床推广价值。【关键词】 CT 诊断 ; 颅脑肿瘤 ; 诊断效果DOI : 10.14163/ki.11-5547/r.2021.24.011Clinical value of CT in the diagnosis of brain tumor WANG Ke-xing. Third People s
4、Hospital of Baiyun District, Guangzhou 510545, China【Abstract】 Objective To analyze the clinical value of CT in the diagnosis of brain tumor. Methods There were 80 patients with suspected brain tumor as study subjects, and all received CT examination. With pathological diagnosis as the gold standard
5、, the sensitivity, specificity and accuracy of CT in the diagnosis of brain tumors were observed. The enhancement height, contrast-media passage time, peak time, local cerebral blood flow, and local cerebral blood volume were compared between tumor tissue and normal tissue in patients with different
6、 brain tumor types. Results Of the 80 patients with suspected brain tumors, 72 cases were diagnosed by pathology and 74 cases were diagnosed by CT. The sensitivity, specificity and accuracy of CT in the diagnosis of brain tumors were 98.61% (71/72), 62.50% (5/8) and 95.00% (76/80). By pathological d
7、iagnosis, 24 cases of meningioma, 26 cases of brain metastases and 22 cases of glioma were confirmed, which could be accurately distinguished by CT. CT examination showed that there were statistically significant differences in enhancement height, peak time, local cerebral blood flow and local cereb
8、ral blood volume between tumor tissue and normal tissue in patients with meningioma, brain metastasis and glioma (P0.05). The enhancement height, local cerebral blood flow and local cerebral blood volume of tumor tissue in meningioma patients were higher than those of tumor tissue in glioma and brai
9、n metastasis patients, and patients with glioma were higher than those with brain metastases. All the difference was statistically significant (P0.05). There was no statistically significant difference in the enhancement height, contrast-media passage time, peak time, local cerebral blood flow, and
10、local cerebral blood volume of the normal tissues in patients with meningioma, brain metastasis, and glioma (P0.05). Conclusion CT diagnosis has the advantages of convenient operation, high accuracy and no trauma. It has high sensitivity, specificity and accuracy when it is applied to the diagnosis
11、of brain tumor patients, which has the value of clinical promotion.【Key words】 CT diagnosis; Brain tumor; Diagnostic effect作者单位 : 510545广州市白云区第三人民医院38中国实用医药2021年8月第16卷第24期China Prac Med, Aug 2021, Vol. 16, No. 24临床诸多疾病中 , 颅脑肿瘤为易发病症 , 患病后多会出现恶心、呕吐、头晕、视力下降、意识模糊等不良症状 , 如果不能够及时采用正确的施救措施 , 病情不断的恶化 , 极易导致
12、患者死亡或致残 , 严重影响患者的生命健康1。临床脑膜瘤、脑转移瘤及脑胶质瘤为颅脑肿瘤的主要发病类型 , 这其中 , 脑胶质瘤较为多见 , 好发于青壮年人群。临床对于该病在治疗措施的选择上需依据医生对病情的评估 , 而准确无误的病情评估是根据对该病诊断的准确性。随着医学技术快速的发展 , CT 技术逐渐增强 , 其对于临床颅脑诊断意义重大 , 能够准确找到病灶部位 , 同时将肿瘤病变的具体情况清晰显示 , 同时 , 该种诊断技术已经广泛应用于颅脑肿瘤的鉴别 , 这对颅脑肿瘤患者的治疗有着极大的帮助。故本次研究围绕CT诊断颅脑肿瘤的临床应用价值进行分析讨论2。选取本院 80 例在 2015 年
13、12 月 2020 年 12 月经 CT 检查的疑似颅脑肿瘤患者进行研究 , 具体如下。1资料与方法1. 1一般资料选取本院2015年12月2020年12月 收治的 80 例疑似颅脑肿瘤患者为研究对象 , 其中 , 男49 例 (61.25%)、女 31 例 (38.75%) ; 年龄 4074 岁 , 平均年龄 (57.215.83) 岁。本研究通过本院伦理委员会审核并批准。1. 2方法80 例患者均行 CT 检查。选择 16 排螺旋CT, 使用碘海醇对比剂 , 对患者颅脑进行最佳层面平扫后 , 通过造影剂观察扫描部位 , 通过延迟扫描精确判断 , 同时所有患者采用灌注测量。1. 3观察指标
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- CT 诊断 颅脑 肿瘤 临床 应用 价值
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