CAJ | 학술논문

目的：探讨磁共振诊断脑干海绵状血管畸形( CM)的正确率及影像学特点。方法：选取术前经磁共振诊断并经手术治疗的CM病例共67例。对照研究术后病理,对比各病理结果病例之间的磁共振表现特点。结果：67例病例中,60例病理为海绵状血管畸形,占89.6%；7例病理诊断为动静脉畸形( AVM)。21例(31.3%)术前磁共振上可见合并相邻的静脉发育异常。病理诊断海绵状血管畸形及AVM的两组病例,其磁共振影像学特点差异无显著性(P>0.05)。结论：磁共振诊断CM有较高的正确率,但存在病理为AVM的可能性,CM易合并脑静脉发育异常,外科医生应该在手术中给予足够的重视。
목적：탐토자공진진단뇌간해면상혈관기형( CM)적정학솔급영상학특점。방법：선취술전경자공진진단병경수술치료적CM병례공67례。대조연구술후병리,대비각병리결과병례지간적자공진표현특점。결과：67례병례중,60례병리위해면상혈관기형,점89.6%；7례병리진단위동정맥기형( AVM)。21례(31.3%)술전자공진상가견합병상린적정맥발육이상。병리진단해면상혈관기형급AVM적량조병례,기자공진영상학특점차이무현저성(P>0.05)。결론：자공진진단CM유교고적정학솔,단존재병리위AVM적가능성,CM역합병뇌정맥발육이상,외과의생응해재수술중급여족구적중시。
Objective To investigate the accuracy and imaging features of magnetic resonance imaging( MRI) in the diagnosis of brainstem cavernous malformation. Method MRI features and postoperative pathological results of 67 pa-tients whose preoperative MRI met the diagnostic criteria of brainstem cavernous malformation were reviewed retro-spectively. Result After operation,60(89. 6%) patients' pathological results were cavernous malformation,7 pa-tients were diagnosed as arteriovenous malformation. 21(31. 3%) patients presented concomitant developmental ve-nous anomalies in the MRI. There was no statistical difference(P>0. 05) between the MRI features of cavernous malformations and arteriovenous malformations. Conclusion Diagnosis of brainstem cavernous malformation by MRI has a high accuracy,but some patients with arteriovenous malformation may be diagnosed as cavernous malformation. Cavernous malformation is prone to coexisting with developmental venous anomaly. Neurosurgeons should know these during the surgeries.