CAJ | 학술논문

目的：探讨高血压脑出血（HICH）术后脑白质部分各向异性（FA）值与病人神经功能的关系。方法：选择高血压基底节区出血病人18例，在开颅术后1～3月行磁共振扩散张量成像（DTI），测定双侧内囊后肢的FA值，与患者术后神经功能评分做相关性分析。结果：患侧皮质脊髓束（CST）区FA值均较健侧不同程度降低（P＜0．001）；患侧内囊后肢FA 值与美国国立卫生研究院卒中量表（NIHSS）评分呈负相关（P＜0．001）、FA 值降低百分比与NIHSS评分呈正相关（P＜0．001）；双侧FA差值与NIHSS评分呈正相关（P＜0．01）。结论：扩散张量成像FA值可以定量分析CS T微观结构的变化，在脑出血术后评价神经功能，预测病人预后状况。
목적：탐토고혈압뇌출혈（HICH）술후뇌백질부분각향이성（FA）치여병인신경공능적관계。방법：선택고혈압기저절구출혈병인18례，재개로술후1～3월행자공진확산장량성상（DTI），측정쌍측내낭후지적FA치，여환자술후신경공능평분주상관성분석。결과：환측피질척수속（CST）구FA치균교건측불동정도강저（P＜0．001）；환측내낭후지FA 치여미국국립위생연구원졸중량표（NIHSS）평분정부상관（P＜0．001）、FA 치강저백분비여NIHSS평분정정상관（P＜0．001）；쌍측FA차치여NIHSS평분정정상관（P＜0．01）。결론：확산장량성상FA치가이정량분석CS T미관결구적변화，재뇌출혈술후평개신경공능，예측병인예후상황。
Objective :To explore the relationship between FA value and postoperative neurologic function in patients with hypertensive intracerebral hemorrhage ,and to guide clinical practice .Methods :18 patients with hy-pertensive hemorrhage in basal ganglia region were collected .Diffusion tensor imaging was performed for measure-ment of FA values of bilateral posterior limbs of the internal capsule after craniotomy 1 to 3 months .The relation-ship between FA value and postoperative NHIHSS score of patients were analyzed .Results :FA values of impaired PLIC were lower than those inf the contralateral sides (P< 0 .001) ,and were negtively correlated with NIHSS scores (P<0 .001) .Difference and lower percentage of bilateral FA values were positively correlated with NIHSS scores .Conclusion :FA values can reflect postoperative CST microstructure change in patients with intracerebral hemorrhage ,evaluate neurologic function ,and predict prognosis .