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张含芝,毛敏杰,杨高怡,张松,邱小伟.经颅多普勒超声联合MRI在颅内结核诊断中的应用价值[J].浙江中西医结合杂志,2018,28(8):
经颅多普勒超声联合MRI在颅内结核诊断中的应用价值
The value of transcranial Doppler combined with MRI in the diagnosis of intracranial
投稿时间:2017-09-07  修订日期:2018-06-06
DOI:
中文关键词:  磁共振成像  经颅多普勒  颅内结核
英文关键词:Magnetic resonance imaging  Transcranial Doppler  Intracranial tuberculosis
基金项目:
作者单位E-mail
张含芝 杭州市红会医院 2436053482@qq.com 
毛敏杰   
杨高怡   
张松   
邱小伟   
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中文摘要:
      目的 探讨经颅多普勒(TCD)联合磁共振成像(MRI)在颅内结核诊断中的应用价值。方法 选取2016年3月至2017年3月在我院接受治疗且经临床检测后确诊为颅内结核的患者86例,按照随机数表法分为观察组和对照组,对照组采用MRI单独检测,观察组采用MRI联合TCD检测,之后对比两组的颅内结核检出率,结核性脑膜炎检出率以及结核瘤检出率。结果 对照组患者经MRI后,诊断患有颅内结核的患者31例占对照组的72.1%与观察组患者经MRI联合TCD后诊断患有颅内结核患者41例占观察组的95.3%相比较低(P<0.05)。对照组患者经MRI后,诊断患有结核性脑膜炎的患者23例低于观察组患者经MRI联合TCD后诊断患有结核性脑膜炎患者37例 (P<0.05)。对照组的结核瘤检出率为45.2%低于观察组的61.0%(P<0.05)。结论 MRI联合TCD避免了单独检测的误诊和漏诊情况,是一种实用性较强的方法,值得临床推广应用。
英文摘要:
      Objective To explore the value of transcranial Doppler combined with MRI in the diagnosis of intracranial tuberculosis. Methods 86 patients with intracranial tuberculosis who were treated in our hospital from March 2016 to March 2017 were treated by clinical pathology and clinical examination. The patients were divided into observation group and control group according to the random number table. The control group was independently detected by MRI. The MRI combined with transcranial Doppler group was used in the observation group. The detection rate of tuberculous meningitis and the positive predict value of tuberculous meningitis were compared after the end of the test. Results In the control group, 31 patients with intracranial tuberculosis were diagnosed by MRI and 72.1% of the patients in the control group. 41 patients with intracranial tuberculosis diagnosed by MRI combined with TCD Accounting for 95.3% of the observation group (P <0.05). In the control group, 23 patients diagnosed with tuberculous meningitis were diagnosed with tuberculous meningitis after MRI, and 37 patients with tuberculous meningitis were diagnosed by MRI combined with TCD (P<0.05). The detection rate of tuberculosis in the control group was 45.2%, less than 61.0% of the observation group (P<0.05). Conclusion MRI combined with TCD avoids the misdiagnosis and missed diagnosis of individual detection, which is a practical method, which is worthy of clinical application. 【Key words】 Magnetic resonance imaging; Transcranial Doppler; Intracranial tuberculosis
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