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目的:分析脑梗死CT、MR与临床不符的原因。方法:分析85例脑梗死的头颅CT、MR并与临床表现相对照。结果:不相符部位以基底节、脑叶、侧脑室旁脑白质多见,腔隙性脑梗死多见。不相符情况:CT(-)、MR(+),临床(-);CT(+)、MR(+),临床(-);CT(-)、MR(+),临床(+)。CT、MR表现与临床同侧;CT、MR两侧,临床一侧;CT、MR一侧,临床两侧。结论:基底节、脑叶、侧脑室旁脑白质内腔隙性脑梗死CT、MR与临床不符者较多见。MR是诊断腔隙性脑梗死的首选检查手段。
Objective: To analyze the causes of CT and MR incompatibility with cerebral infarction. Methods: The head CT and MR of 85 patients with cerebral infarction were analyzed and compared with the clinical manifestations. Results: inconsistent parts of the basal ganglia, lobar, lateral ventricular white matter more common, lacunar infarction more common. Incompatibility: CT (-), MR (+), clinical (-); CT (+), MR (+), clinical (-); CT (-), MR (+), clinical (+). CT, MR performance and clinical ipsilateral; CT, MR on both sides of the clinical side; CT, MR side, both sides of the clinic. Conclusion: Basal ganglia, cerebral lobe, lateral cerebral ventricle white matter lacunar infarction CT, MR are more common with clinical discrepancies. MR is the first choice for the diagnosis of lacunar infarction.