[1]宋　健　刘　敏　丁慧超　杜　浩　向伟楚　黄　成　黄　河　孙荣辉　何远志　徐国政　马廉亭.术前MRI与Dyna-CTA三维影像融合对微血管减压术难易程度的评估价值[J].中国临床神经外科杂志,2015,(10):597-599,604.[doi:10.13798/j.issn.1009-153X.2015.10.007]
　SONG Jian,LIU Min,DING Hui-chao,et al.Value of preoperative MRI and Dyna-CTA 3D-imaging fusion to microvascular decompression[J].,2015,(10):597-599,604.[doi:10.13798/j.issn.1009-153X.2015.10.007]
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术前MRI与Dyna-CTA三维影像融合对微血管减压术难易程度的评估价值()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年10期
页码:
597-599,604
栏目:
论著
出版日期:
2015-10-30

文章信息/Info

Title:
Value of preoperative MRI and Dyna-CTA 3D-imaging fusion to microvascular decompression
文章编号:
1009-153X（2015）10-0597-03
作者:
宋　健　刘　敏　丁慧超　杜　浩　向伟楚　黄　成　黄　河　孙荣辉　何远志　徐国政　马廉亭
430070 武汉，广州军区武汉总医院神经外科（宋　健、丁慧超、杜　浩、向伟楚、黄　成、黄　河、孙荣辉、何远志、徐国政、马廉亭）；430011 武汉，解放军第457医院眼科（刘　敏） 通信作者：马廉亭，E-mail：mlt1937@163.com
Author(s):
SONG Jian1;  LIU Min2;  DING Hui-chao1;  DU Hao1;  XIANG Wei-chu1;  HUANG Cheng1;  HUANG He1;  SUN Rong-hui1;  HE Yuan-zhi1;  XU Guo-zheng1;  MA Lian-ting1.
1. Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command, PLA, Wuhan 430070, China;
2. Department of Ophthalmology, The 457th Hospital, PLA, 430011 Wuhan, China
关键词:
微血管减压术; MRI; Dyna-CTA; 三维影像融合
Keywords:
Trigeminal neuralgia;  Facial hemispasm;  Microvascular decompression;  MRI;  Dyna-CTA;  Fusion imaging
分类号:
R 745.1; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2015.10.007
文献标志码:
A
摘要:
目的 探讨术前MRI与Dyna-CTA三维影像融合对微血管减压手术难易程度的评估价值。方法 将5例拟接受微血管减压术的患者术前行Dyna-CTA与MRI融合，了解责任血管的走向及其与绒球小结叶的相对关系，并对绒球小结叶凸起程度、后颅窝扁平程度等影响手术难易程度的参数进行测量评估，与显微镜下手术操作时间作比较。结果 所有5例患者术中所见与融合后影像特征相符。责任血管与绒球小结叶的相对关系、术侧绒球小结叶凸起程度、后颅窝扁平程度是影响手术难易程度的重要因素。结论 术前MRI与Dyna-CTA三维影像融合为微血管减压术的术前评估提供了一种安全有效的新方法，能够有效预测微血管减压术的难易程度。
Abstract:
Objective To investigate the value of preoperative MRI and Dyna-CTA three-dimensional (3D)-imaging fusion to microvascular decompression. Methods MRI and Dyna-CTA 3D-imaging fusion was performed before the microvascular decompression in 5 patients, of whom, 1 suffered from trigeminal neuralgia and 4 from facial hemispasm. The run of offending artery, the extent of flocculonodular lobe convexity, the posterior cranial fossa morphology were measured and the relationship between the offending artery and floculonodular lobe was observed on the fused 3D-imaging in order to analyze their effects on operative proceeding. Results The important morphological characteristics in operative field observed by the surgery were similar to those shown by the fused 3D-imaging. The perforating branch originated from the offending artery, the higher convexity of the flocculonodular lobe and high unevenness of the posterior cranial fossa prolonged the operative duration. Conclusion Preoperative 3D-imaging fusion of MRI and Dyna-CTA may be helpful to the preoperative assessment of the difficulty of microvascular decompression in the patients with trigeminal neuralgia or facial hemispasm.

参考文献/References:

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更新日期/Last Update: 2015-10-30