中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2013年
z1期
100-102
,共3页
3.0MR%伽玛刀%三叉神经痛
3.0MR%伽瑪刀%三扠神經痛
3.0MR%가마도%삼차신경통
3.0MR%Gamma knife%Trigeminal neuralgia
目的 分析3.0MR在诊断原发性三叉神经痛和伽玛刀治疗三叉神经痛中的应用,探讨3.0MR对疗效的影响.方法 回顾性分析我院2005年5月至2011年6月治疗62例原发性三叉神经痛的病例资料.术前应用3.0MR进行3D-FIESTA扫描,治疗时用3.0MR定位.选取患侧三叉神经根近脑池段为靶点,选用4 mm准直器治疗,中心剂量70 ～90 Gy.结果 随访6～36个月,完全缓解51例,部分缓解8例,无缓解3例,未发生患侧面部麻木、耳鸣、咀嚼肌无力.结论 3.0MR能完全清晰显示三叉神经及责任血管,有利于明确病因,且在定位时准确定位三叉神经根,有效提高伽玛刀治疗三叉神经痛的成功率,对降低并发症发生率及复发率有重要价值.
目的 分析3.0MR在診斷原髮性三扠神經痛和伽瑪刀治療三扠神經痛中的應用,探討3.0MR對療效的影響.方法 迴顧性分析我院2005年5月至2011年6月治療62例原髮性三扠神經痛的病例資料.術前應用3.0MR進行3D-FIESTA掃描,治療時用3.0MR定位.選取患側三扠神經根近腦池段為靶點,選用4 mm準直器治療,中心劑量70 ～90 Gy.結果 隨訪6～36箇月,完全緩解51例,部分緩解8例,無緩解3例,未髮生患側麵部痳木、耳鳴、咀嚼肌無力.結論 3.0MR能完全清晰顯示三扠神經及責任血管,有利于明確病因,且在定位時準確定位三扠神經根,有效提高伽瑪刀治療三扠神經痛的成功率,對降低併髮癥髮生率及複髮率有重要價值.
목적 분석3.0MR재진단원발성삼차신경통화가마도치료삼차신경통중적응용,탐토3.0MR대료효적영향.방법 회고성분석아원2005년5월지2011년6월치료62례원발성삼차신경통적병례자료.술전응용3.0MR진행3D-FIESTA소묘,치료시용3.0MR정위.선취환측삼차신경근근뇌지단위파점,선용4 mm준직기치료,중심제량70 ～90 Gy.결과 수방6～36개월,완전완해51례,부분완해8례,무완해3례,미발생환측면부마목、이명、저작기무력.결론 3.0MR능완전청석현시삼차신경급책임혈관,유리우명학병인,차재정위시준학정위삼차신경근,유효제고가마도치료삼차신경통적성공솔,대강저병발증발생솔급복발솔유중요개치.
Objective To investigate the application of 3.0 MR for Gamma knife radios surgery(GKS) for treatment trigeminal neuralgia(TN) and the effect of 3.0 MR on therapy.Methods Sixty-two patients with TN underwent GKS,between May 2005 to June 2011 at Wanjie Hospital were included as our subjects.3.0MR 3-D FIESTA sequence scan were performed before treatment,during treatment 3.0MR orientation guided to select the trigeminal neuralgia (TN) brain cistern segment target spot.The 4 mm collimator was used and the maximum dose was to 70-90 Gy.Results The followed up periods was 6-36 months,total effective rate was 92 ％,the total alleviate cases was 51 part for 8 cases,none for 3,ipsilateral facial numbness,tinnitus,masticatory muscle weakness was found.Conclusion 3.0MR can clearly display trigeminal neuralgia and duty blood vessel,nicety orientation TN root,and then enhance GKS treatment TN rate,as well as avoid complication.
