医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2013年
14期
1840-1842
,共3页
彭红芬%张东友%马志娟%董进%涂茜
彭紅芬%張東友%馬誌娟%董進%塗茜
팽홍분%장동우%마지연%동진%도천
原发性三叉神经痛%磁共振成像%3D-TOF-MRA序列%3D-FIESTA序列
原髮性三扠神經痛%磁共振成像%3D-TOF-MRA序列%3D-FIESTA序列
원발성삼차신경통%자공진성상%3D-TOF-MRA서렬%3D-FIESTA서렬
Primary trigeminal neuralgia%MRI%3D-TOF-MRA%3D-FIESTA
目的:探讨磁共振3D-FIESTA(三维快速平衡稳态进动)序列、3D-TOF-MRA序列对显示原发性三叉神经痛(primary trigeminal neuralgia ,PT N )患者神经血管关系的应用价值。方法:回顾性分析2010年6月-2012年2月共29例临床诊断原发性三叉神经痛患者3D-FIES T A序列及3D-T O F-M RA序列图像中神经血管关系,其中10例对照手术。结果:29例双侧三叉神经显示率100%;3D-FIES T A、3D-T O F-M RA序列显示患侧与神经紧密相临血管阳性率分别为86.2%、82.8%,二者差异无统计学意义( P>0.1);二序列同时应用阳性率93%(27/29),高于单用一序列,但无统计学意义( P>0.1)。结论:M RI能为三叉神经痛病因分析和治疗方案的制定提供信息,3D-FIES T A序列及3D-TOF-MRA序列显示神经血管关系价值相当,二者同时应用可以提高神经周围血管显示阳性率,并能更为明确地显示局部细节。
目的:探討磁共振3D-FIESTA(三維快速平衡穩態進動)序列、3D-TOF-MRA序列對顯示原髮性三扠神經痛(primary trigeminal neuralgia ,PT N )患者神經血管關繫的應用價值。方法:迴顧性分析2010年6月-2012年2月共29例臨床診斷原髮性三扠神經痛患者3D-FIES T A序列及3D-T O F-M RA序列圖像中神經血管關繫,其中10例對照手術。結果:29例雙側三扠神經顯示率100%;3D-FIES T A、3D-T O F-M RA序列顯示患側與神經緊密相臨血管暘性率分彆為86.2%、82.8%,二者差異無統計學意義( P>0.1);二序列同時應用暘性率93%(27/29),高于單用一序列,但無統計學意義( P>0.1)。結論:M RI能為三扠神經痛病因分析和治療方案的製定提供信息,3D-FIES T A序列及3D-TOF-MRA序列顯示神經血管關繫價值相噹,二者同時應用可以提高神經週圍血管顯示暘性率,併能更為明確地顯示跼部細節。
목적:탐토자공진3D-FIESTA(삼유쾌속평형은태진동)서렬、3D-TOF-MRA서렬대현시원발성삼차신경통(primary trigeminal neuralgia ,PT N )환자신경혈관관계적응용개치。방법:회고성분석2010년6월-2012년2월공29례림상진단원발성삼차신경통환자3D-FIES T A서렬급3D-T O F-M RA서렬도상중신경혈관관계,기중10례대조수술。결과:29례쌍측삼차신경현시솔100%;3D-FIES T A、3D-T O F-M RA서렬현시환측여신경긴밀상림혈관양성솔분별위86.2%、82.8%,이자차이무통계학의의( P>0.1);이서렬동시응용양성솔93%(27/29),고우단용일서렬,단무통계학의의( P>0.1)。결론:M RI능위삼차신경통병인분석화치료방안적제정제공신식,3D-FIES T A서렬급3D-TOF-MRA서렬현시신경혈관관계개치상당,이자동시응용가이제고신경주위혈관현시양성솔,병능경위명학지현시국부세절。
Objective :To discuss the applied value of three dimensional time-of-flight magnetic resonance angiography (3D-TOF-MRA) and three-dimensional fast imaging employing steady-state acquisition(3D-FIESTA)used displaying the relationship between the nerve and vessels in Trigeminal Neuralgia .Methods :Retrospective analysed 29 MR images of PTN patients including 3D-FIESTA and 3D-TOF-MRA from June 2010 to February 2012 ,10 cases compared sur-gery .Results:The positive rate of displaying bilateral trigeminus was 100% ,the positive rate of displaying vessels tight-ening contacting trigeminus were 86 .2% with 3D-FIESTA and 82 .8% with 3D-TOF-MRA ,there were no significant difference (P>0 .1) .The positive rate combining 2 sequences was 93% ,exceeding each ,but no statistically significant (P>0 .1) .Conclusion:MRI could provide information for therapeutic schedule and etiological factors of trigeminal neu-ralgia .And 3D-FIESTA corresponded to 3D-TOF-MRA .Combining two could enhance the positive rate and showed more explicit local details .