中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2014年
11期
1130-1135
,共6页
唐四强%漆松涛%刘忆%陈铭%张喜安%潘军%石瑾%黄广龙%彭四维
唐四彊%漆鬆濤%劉憶%陳銘%張喜安%潘軍%石瑾%黃廣龍%彭四維
당사강%칠송도%류억%진명%장희안%반군%석근%황엄룡%팽사유
三叉神经痛%影像学因素%复发%CPA面积%神经根萎缩%责任血管
三扠神經痛%影像學因素%複髮%CPA麵積%神經根萎縮%責任血管
삼차신경통%영상학인소%복발%CPA면적%신경근위축%책임혈관
Trigeminal neuralgia%Imaging factors%Recurrence%CPA area%Nerve root atrophy%Offend vascular
目的 评价原发性三叉神经痛显微血管减压术(MVD)术后复发的相关影像学因素.方法 分析接受MVD治疗的107例患者临床资料和术前MRI影像学资料与术后复发的关系.三叉神经影像学因素包括:CPA面积比、TGN截面积比、TGN长度比、TGN夹角比、压迫点距离和方位、基底动脉位置、责任血管类型.结果 Kaplan-Meier单因素分析:病程(P=0.039)、临床特征(P=0.049)、CPA面积比(P=0.003)、责任血管类型(P=0.000)、TGN截面积比(P=0.036)、压迫点距离(P=0.045)与术后复发相关(P＜0.05);多因素COX回归分析:病程(P=0.002)、CPA面积比(P =0.049)、责任血管类型(P=0.000)、TGN截面积比(P=0.019)是影响MVD术后复发的因素(P＜0.05).结论 病程短并且三叉神经术前MRI提示CPA池无狭窄、责任血管为动脉、神经根无萎缩的患者MVD术后不容易复发.
目的 評價原髮性三扠神經痛顯微血管減壓術(MVD)術後複髮的相關影像學因素.方法 分析接受MVD治療的107例患者臨床資料和術前MRI影像學資料與術後複髮的關繫.三扠神經影像學因素包括:CPA麵積比、TGN截麵積比、TGN長度比、TGN夾角比、壓迫點距離和方位、基底動脈位置、責任血管類型.結果 Kaplan-Meier單因素分析:病程(P=0.039)、臨床特徵(P=0.049)、CPA麵積比(P=0.003)、責任血管類型(P=0.000)、TGN截麵積比(P=0.036)、壓迫點距離(P=0.045)與術後複髮相關(P＜0.05);多因素COX迴歸分析:病程(P=0.002)、CPA麵積比(P =0.049)、責任血管類型(P=0.000)、TGN截麵積比(P=0.019)是影響MVD術後複髮的因素(P＜0.05).結論 病程短併且三扠神經術前MRI提示CPA池無狹窄、責任血管為動脈、神經根無萎縮的患者MVD術後不容易複髮.
목적 평개원발성삼차신경통현미혈관감압술(MVD)술후복발적상관영상학인소.방법 분석접수MVD치료적107례환자림상자료화술전MRI영상학자료여술후복발적관계.삼차신경영상학인소포괄:CPA면적비、TGN절면적비、TGN장도비、TGN협각비、압박점거리화방위、기저동맥위치、책임혈관류형.결과 Kaplan-Meier단인소분석:병정(P=0.039)、림상특정(P=0.049)、CPA면적비(P=0.003)、책임혈관류형(P=0.000)、TGN절면적비(P=0.036)、압박점거리(P=0.045)여술후복발상관(P＜0.05);다인소COX회귀분석:병정(P=0.002)、CPA면적비(P =0.049)、책임혈관류형(P=0.000)、TGN절면적비(P=0.019)시영향MVD술후복발적인소(P＜0.05).결론 병정단병차삼차신경술전MRI제시CPA지무협착、책임혈관위동맥、신경근무위축적환자MVD술후불용역복발.
Objective To evaluate the radiological factors about the recurrence of primary prosopalgia treated by microvascular decompression (MVD).Methods To analyze the relationship between postoperative recurrence and preoperative MRI features of the 107 patients who were treated by MVD in Nanfang hospital.The radiological characteristics of trigeminal nerve (TGN) included the sectional area ratio,length ratio,intersection angle ratio,compression distance and orientation of TGN.Besides that,the radiological features also included the area of cerebellopontine angle (CPA),location of basilar artery and the types of offending vascular.Results The result of Kaplan-Meier analysis showed the duration of disease(P =0.039),clinical presentation(P =0.049),the area ratio of cerebellopontine angle (P =0.003),types of offending vascular (P =0.000),sectional area ratio of TGN (P =0.036) and compression distance of TGN (P =0.045) were related to the postoperative recurrence(P ＜0.05).The Cox Regression showed that the area ratio of CPA (P =0.049),duration of disease (P =0.002),offending vascular types (P =0.000) and sectional area ratio of TGN (P =0.019) were the main influencing factors of postoperative recurrence(P ＜ 0.05).Conclusions The MRI characteristics of TGN demonstrated that the CPA cistern without stenosis,the offending vascular being artery and the nerve root without atrophy will not easily lead to the postoperative recurrence of MVD.
