肝硬化再生结节患者的核磁共振诊断研究

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目的探讨肝硬化再生结节患者运用核磁共振进行诊断的使用价值。方法选取我院2014年1月~2016年1月期间收治的60例肝硬化再生结节患者的临床资料,并将其随机分为对照组和观察组,每组30例。对照组患者采用CT检查,观察组患者使用核磁共振扫描。比较两组患者检查的准确率,同时对核磁共振成像加以论述。结果观察组检查准确率为93.33%,对照组检查准确率为63.33%,差异具有统计学意义(P<0.05)。核磁共振检查中,T1WI多在常规扫描是信号稍高,而T2WI的信号相对较低。扫描增强,其门静脉期、延迟期与强化肝实质多为低信号结节,动脉期强化可能性较低。T2WI多表现为较高信号,其增强扫描后,动脉期明显强化。结论核磁共振用于肝硬化再生结节临床诊断,能够有效地鉴别其良恶性,从而加强临床治疗对其的重视程度。同时,为治疗提供依据,值得临床推广。 Objective To investigate the value of using nuclear magnetic resonance in diagnosis of patients with regenerative nodules of liver cirrhosis. Methods The clinical data of 60 patients with recurrent nodules of liver cirrhosis admitted in our hospital from January 2014 to January 2016 were selected and randomly divided into control group and observation group, 30 cases in each group. The control group patients with CT examination, observation group patients using magnetic resonance imaging. The accuracy of the two groups of patients was compared, and MRI was also discussed. Results The accuracy rate of the observation group was 93.33% and that of the control group was 63.33%, the difference was statistically significant (P <0.05). MRI, T1WI more in the routine scan is slightly higher signal, and T2WI signal is relatively low. Scan enhanced portal phase, delayed phase and enhanced parenchymal mostly low signal nodules, the possibility of strengthening the lower arterial phase. T2WI more performance for the higher signal, enhanced scan, the arterial phase was significantly enhanced. Conclusion Nuclear magnetic resonance is used in the clinical diagnosis of regenerative nodules of liver cirrhosis, which can effectively identify the benign and malignant, so as to strengthen the emphasis of clinical treatment. At the same time, to provide the basis for treatment, it is worth clinical promotion.
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