中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2012年
10期
1037-1041
,共5页
三叉神经%面神经%微血管减压术%双激发式稳态自由进动序列%增强T1高分辨率各向同性容积激发序列
三扠神經%麵神經%微血管減壓術%雙激髮式穩態自由進動序列%增彊T1高分辨率各嚮同性容積激髮序列
삼차신경%면신경%미혈관감압술%쌍격발식은태자유진동서렬%증강T1고분변솔각향동성용적격발서렬
Trigeminal nerve%Facial nerve%Microvascular decompression%Balanced turbo field echo sequence%Enhanced T1 high-resolution isotropic volume excitation sequence
目的 探讨双激发式稳态自由进动序列(BTFE)与增强T1高分辨率各向同性容积激发序列(e-THRIVE)联合应用在原发性三叉神经痛与面肌痉挛微血管减压术前MR成像中的临床应用价值. 方法 回顾性分析自2009年4月至2011年12月广东省第二人民医院收治的121例神经微血管压迫患者(三叉神经痛74例,面肌痉挛47例)的影像资料,患者均采用PHILIPS公司ACHIEVA NOVA DUAL A-serial 1.5T磁共振扫描仪成像,成像序列除头颅常规序列外,特别进行了BTFE序列及e-THRIVE序列成像. 结果 全部患者均经微血管减压术证实.74例患者的三叉神经及47例患者的面神经全部显示清楚.121例患者中共118例(98％)找到责任微血管:74例三叉神经痛患者中有52例(70％)为小脑上动脉压迫；47例面肌痉挛患者中有29例(62％)为小脑前下动脉压迫;压迫方式多呈斜行交叉、平行及垂直交叉相贴. 结论 联合应用BTFE、e-THRIVE序列可清楚显示三叉神经、面神经及后颅窝微血管,再结合空间Link功能及多平面重建技术,可以找寻到责任微血管,为三叉神经痛及面肌痉挛患者行微血管减压术提供术前影像学指导.
目的 探討雙激髮式穩態自由進動序列(BTFE)與增彊T1高分辨率各嚮同性容積激髮序列(e-THRIVE)聯閤應用在原髮性三扠神經痛與麵肌痙攣微血管減壓術前MR成像中的臨床應用價值. 方法 迴顧性分析自2009年4月至2011年12月廣東省第二人民醫院收治的121例神經微血管壓迫患者(三扠神經痛74例,麵肌痙攣47例)的影像資料,患者均採用PHILIPS公司ACHIEVA NOVA DUAL A-serial 1.5T磁共振掃描儀成像,成像序列除頭顱常規序列外,特彆進行瞭BTFE序列及e-THRIVE序列成像. 結果 全部患者均經微血管減壓術證實.74例患者的三扠神經及47例患者的麵神經全部顯示清楚.121例患者中共118例(98％)找到責任微血管:74例三扠神經痛患者中有52例(70％)為小腦上動脈壓迫；47例麵肌痙攣患者中有29例(62％)為小腦前下動脈壓迫;壓迫方式多呈斜行交扠、平行及垂直交扠相貼. 結論 聯閤應用BTFE、e-THRIVE序列可清楚顯示三扠神經、麵神經及後顱窩微血管,再結閤空間Link功能及多平麵重建技術,可以找尋到責任微血管,為三扠神經痛及麵肌痙攣患者行微血管減壓術提供術前影像學指導.
목적 탐토쌍격발식은태자유진동서렬(BTFE)여증강T1고분변솔각향동성용적격발서렬(e-THRIVE)연합응용재원발성삼차신경통여면기경련미혈관감압술전MR성상중적림상응용개치. 방법 회고성분석자2009년4월지2011년12월광동성제이인민의원수치적121례신경미혈관압박환자(삼차신경통74례,면기경련47례)적영상자료,환자균채용PHILIPS공사ACHIEVA NOVA DUAL A-serial 1.5T자공진소묘의성상,성상서렬제두로상규서렬외,특별진행료BTFE서렬급e-THRIVE서렬성상. 결과 전부환자균경미혈관감압술증실.74례환자적삼차신경급47례환자적면신경전부현시청초.121례환자중공118례(98％)조도책임미혈관:74례삼차신경통환자중유52례(70％)위소뇌상동맥압박；47례면기경련환자중유29례(62％)위소뇌전하동맥압박;압박방식다정사행교차、평행급수직교차상첩. 결론 연합응용BTFE、e-THRIVE서렬가청초현시삼차신경、면신경급후로와미혈관,재결합공간Link공능급다평면중건기술,가이조심도책임미혈관,위삼차신경통급면기경련환자행미혈관감압술제공술전영상학지도.
Objective To explore the applied value of balanced turbo field echo (BTFE)Cine-MR imaging and enhanced T1 high-resolution isotropic volume excitation (e-THRIVE) imaging in patients with trigeminal neuralgia (TN) and hemifacial spasm (HFS) before performing microvascular decompression (MVD).Methods One hundred and twenty-one patients (74 patients with TN and 47 with HFS),admitted to our hospital from April 2009 to December 2011,were chosen in our study; a scan with ACHIEVA NOVA DUAL A-serial 1.5 T MR Machine using the BTFE and e-THRIVE serial besides conventional head MR imaging was performed on these patients.All the MR imaging data were retrospectively analyzed.Results All the patients were confirmed by microvascular decompression.The facial nerves of 74 patients with TN and 47 with HFS were displayed well.Responsible capillaries were found in 118 patients (98％):the related vessel was superior cerebellar artery in 52 patients (70％) of 74 patients with TN and anterior inferior cerebellar artery in 29 patients (625) of 47 patients with HFS.The compression style included oblique cross,parallel or vertical compression.Conclusion BTFE MR imaging and e-THRIVE imaging can show the trigeminal nerve,facial nerve and microvascular vessel in the posterior cranial fossa clearly; combining space-link method and multiplanar reconstruction,they can help us find the related vessel and provide preoperative guidance before microvascular decompression for patients with TN and HFS.
