CAJ | 학술논문

目的评价放射性核索脑脊液显像(RCFS)在诊断脑积水和决定脑积水治疗方法中的价值.方法 13例脑积水患者(成人8例,儿童5例),由神经外科医师在严格的尤菌条件下行腰椎穿刺后向蛛网膜下腔注入99TcmDTPA,行RCFS检杳.由2位核医学科医师分析显像结果后诊断,与CT或MRI检查结果对比分析,并对所有患者进行随访.结果 7例RCFS诊断为阻塞性脑积水的患者(成人6例,儿童1例)中,4例有手术指征者行第三脑室底造瘘术(ETV);6例RCFS诊断为交通性脑积水的患者(成人2例,儿奄4例)中,5例有手术指征者行脑室.腹腔分流术(VPS).9例手术患者术后恢复良好.结论 RCFS可以对2种类型的脑积水进行明确的鉴别诊断,并对指导临床选择适当的术式有重要意义.
목적 평개방사성핵색뇌척액현상(RCFS)재진단뇌적수화결정뇌적수치료방법중적개치.방법 13례뇌적수환자(성인8례,인동5례),유신경외과의사재엄격적우균조건하행요추천자후향주망막하강주입99TcmDTPA,행RCFS검묘.유2위핵의학과의사분석현상결과후진단,여CT혹MRI검사결과대비분석,병대소유환자진행수방.결과 7례RCFS진단위조새성뇌적수적환자(성인6례,인동1례)중,4례유수술지정자행제삼뇌실저조루술(ETV);6례RCFS진단위교통성뇌적수적환자(성인2례,인엄4례)중,5례유수술지정자행뇌실.복강분류술(VPS).9례수술환자술후회복량호.결론 RCFS가이대2충류형적뇌적수진행명학적감별진단,병대지도림상선택괄당적술식유중요의의.
Objective Radionuclide cerebrospinal fluid scintigraphy (RCFS)has been applied to make diagnosis of hydrocephalus clinically for a long time.This study aimed to evaluate clinical value ofRCFS in guiding the management of patients with hydrocephalus.Methods All 13 patients with hydro-cephalus(8 adults,5 children)underwent RCFS and CT/MRI examination before treatment and then fol-low-up imaging after treatment.Results Four of 7 patients(6 adults,l child)diagnosed as obstructive hydrocephalus by RCFS underwent endoscopic third ventriculostomy (ETV),and 5 of 6 patients(2 adults,4 children)diagnosed as obstructive hydrocephalus underwent ventriculo peritoneal shunt(VPS).All pa-tients had good recovery after operation and favorable prognosis in follow-up for at least one year.Conclu-sion RCFS could differentiate obstructive hydrocephalus from communicating hydrocephalus and had im-portant guiding significance in the treatment of hydrocephalus.