摘要
【摘要】 目的 探讨头颅磁共振在脑血管性痴呆患者中临床诊断价值。方法 50例血管性痴呆患者患者作为观察组， 同时选择同期的阿尔茨海默病患者 30例作为对照组。采用磁共振成像仪对两组患者实施头颅磁共振检查。分析两组患者的左侧和右侧海马体积、左侧和右侧的颞叶沟回间距。计算两组患者海马体积情况， 测算两组患者颞叶沟回间距大小和大脑左右经大小。结果 两组患者的大脑左右径比较， 差异无统计学意义（ P>0.05）；观察组的颞叶沟回间距小于对照组的颞叶沟回间距， 差异有统计学意义（ P<0.05）；观察组的颞叶沟回间距和大脑左右径比值小于对照组的颞叶沟回间距和大脑左右径比值， 差异有统计学意义（ P<0.05）；观察组的左侧海马体积大于对照组的左侧海马体积， 差异有统计学意义（ P<0.05）；观察组的右侧海马体积大于对照组右侧海马体积， 差异有统计学意义（ P<0.05）。结论 头颅磁共振检查有助于脑血管性痴呆的临床诊断， 利于对脑血管性痴呆和其他类型痴呆进行鉴别， 有重要的临床意义。
【关键词】 头颅；磁共振；血管性痴呆
[Abstract] Objective To explore the clinical value of MRI in the diagnosis of cerebrovascular dementia. Methods 50 patients with vascular dementia were selected as the observation group and 30 patients with Alzheimer's disease as the control group. Two groups of patients were examined by MRI. The volume of left and right hippocampus, the distance between left and right temporal gyrus were analyzed. The hippocampal volume of the patients in the two groups was calculated, and the distance between temporal lobe gyrus and the left and right meridians of brain were measured. Results there was no significant difference between the two groups (P > 0.05); the difference between the two groups was statistically significant (P < 0.05); the difference between the two groups was statistically significant (P < 0.05); the difference between the two groups was statistically significant (P < 0.05) The left hippocampal volume of the observation group was larger than that of the control group, the difference was statistically significant (P < 0.05); the right hippocampal volume of the observation group was larger than that of the control group, the difference was statistically significant (P < 0.05). Conclusion MRI is helpful to the clinical diagnosis of CVD and to distinguish CVD from other types of dementia.
出版日期
2020年04月27日（中国期刊网平台首次上网日期，不代表论文的发表时间）
