[1]齐　猛 孙　澎　陆　夏 张　敏 梁建涛.术前3D-CISS联合3D-TOF序列MRI判断原发性三叉神经痛责任血管的效果[J].中国临床神经外科杂志,2017,(10):684-686.[doi:10.13792017.09/j.issn.1009-153X.2017.10.004]
　QI Meng,SUN Peng,LU Xia,et al.Values of 3D-CISS combined with 3D-TOF sequences MRI to diagnosis of vessels responsible for primary trigeminal neuralgia[J].,2017,(10):684-686.[doi:10.13792017.09/j.issn.1009-153X.2017.10.004]
点击复制

术前3D-CISS联合3D-TOF序列MRI判断原发性三叉神经痛责任血管的效果()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年10期
页码:
684-686
栏目:
论著
出版日期:
2017-10-25

文章信息/Info

Title:
Values of 3D-CISS combined with 3D-TOF sequences MRI to diagnosis of vessels responsible for primary trigeminal neuralgia
文章编号:
1009-153X（2017）10-0684-03
作者:
齐　猛 孙　澎　陆　夏 张　敏 梁建涛
100053 北京，首都医科大学宣武医院神经外科
Author(s):
QI Meng1;  SUN Peng1;  LU Xia1;  ZHANG Min2;  LIANG Jian-tao1.
1. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China; 2. Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
关键词:
原发性三叉神经痛; 磁共振成像; 三维稳态构成干扰序列; 三维时间飞跃序列; 责任血管; 判断
Keywords:
Primary trigeminal neuralgia;  MRI;  3D-CISS;  3D-TOF;  Offending vessel;  Microvascular decompression;  Diagnostic
分类号:
R 745.1+1; R 651.1+1
DOI:
10.13792017.09/j.issn.1009-153X.2017.10.004
文献标志码:
A
摘要:
目的 探讨术前三维稳态构成干扰（3D-CISS）序列和三维时间飞跃（3D-TOF）序列MRI在原发性三叉神经痛责任血管判断中价值。方法 回顾性分析2016年1~12月首次行微血管减压术（MVD）治疗的79例原发性三叉神经痛的临床资料。术前均行3D-CISS和3D-TOF序列MRI检查。以术中发现为判断责任血管的标准。结果 术中发现单一责任血管56例（70.8%），2支及以上责任血管19例（24.1%），无责任血管4例（5.1%）；责任血管中包含至少一条动脉73例（92.4%），单纯静脉2例（2.5%）。术前影像学检查阳性75例，阴性4例。75例阳性中，术中发现责任血管73例，未发现责任血管2例；4例阴性中，术中发现责任血管2例，2例未发现责任血管。术前3D-CISS和3D-TOF序列MRI判断责任血管的灵敏性为97.3%（73/75），特异性为50.0%（2/4），准确率为94.9%[（73+2）/79]；判断责任血管包含动脉的灵敏性为98.6%（72/73），特异性为50.0%（3/6），准确率为94.9%[（72+3）/79]。结论 术前3D-CISS联合3D-TOF序列MRI可用于判断原发性三叉神经痛责任血管，尤其对于包含动脉的责任病变，准确率较高，为MVD提供参考信息。
Abstract:
Objective To explore the values of 3-dimensional constructive inference in steady state (3D-CISS) combined with 3-dimensional time of flight (3D-TOF) sequences MRI to the diagnosis of the vessels responsible for primary trigeminal neuralgia (PTN). Methods The clinical data of 79 patients with PTN, who underwent the first microvascular decompression (MVD) in Department of Neurosurgery, Xuanwu Hospital, Capital Medical University from January, 2016 to December, 2016, were analyzed retrospectively. By comparing the offending vessels preoperatively identified by 3D-CISS combined with 3D-TOF sequences MRI with the offending vessels intraoperatively detected by the operators, the accuracy of 3D-CISS combined with 3D-TOF sequences MRI in diagnosis of offending vessels was evaluated. Results The preoperative 3D-CISS combined with 3D-TOF sequences MRI found that there were offending vessels in 75 patients and there were no offending vessels in 4 patients. The operators intraoperatively found that there was at least 1 offending artery in each of 73 patients with PTN and there were no offending vessels in 4 patients. The sensitivity and specificity of 3D-CISS combined with 3D-TOF sequences MRI for detecting the offending vessels were 98.6% and 50.0% respectively and its accuracy for diagnosing the offending vessel was 94.9% before the operation. Conclusion The pre-operative 3D-CISS combined with 3D-TOF sequences MRI can provide the important information of the offending vessels for MVD surgery in the patients with PTN.

参考文献/References:

[1] Cruccu G, Finnerup NB, Jensen TS, et al. Trigeminal neu-ralgia: new classification and diagnostic grading for practiceand research [J]. Neurology, 2016, 87(2): 220-228.
[2] 中华医学会神经外科学分会功能神经外科学组. 中国显微血管减压术治疗三叉神经痛和舌咽神经痛专家共识（2015）[J]. 中华神经外科杂志，2015，31（3）：217-220.
[3] Gronseth G, Cruccu G, Alksne J, et al. Practice parameter: the diagnostic evaluation and treatment of trigeminal neu-ralgia (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies [J]. Neurology, 2008, 71(15): 1183-1190.
[4] Maarbjerg S, Di Stefano G, Bendtsen L, et al. Trigeminal neuralgia--diagnosis and treatment [J]. Cephalalgia, 2017, 37(7): 648-657.
[5] 王婧爱，罗　芳. 三叉神经痛发病的分子机制学研究进展[J]. 中国疼痛医学杂志，2017，23（1）：55-58.
[6] 侯高磊，张云鹤. 微血管减压术治疗原发性三叉神经痛55例手术结果分析[J]. 山东医药，2014，57（30）：80-82.
[7] 郭宏川，郭海涛，宋　刚，等. 原发性三叉神经痛罕见病因分析及手术方法[J]. 中国老年学杂志，2017，37（5）：1227-1228.
[8] Zhong J, Li ST, Zhu J, et al. A clinical analysis on micro-vascular decompression surgery in a series of 3000 cases [J]. Clin Neurol Neurosurg, 2012, 114(7): 846-851.
[9] 中华医学会神经外科学分会功能神经外科学组. 中国显微血管减压术治疗脑神经疾患术中减压植入物专家共识（2016）[J]. 中华神经外科杂志，2016，32（10）：976-977.
[10] Gu W, Zhao W. Microvascular decompression for recurrent trigeminal neuralgia [J]. J Clin Neurosci, 2014, 21(9): 1549-1553.
[11] Leal PR, Barbier C, Hermier M, et al. Atrophic changes in the trigeminal nerves of patients with trigeminal neuralgia due to neurovascular compression and their association with the severity of compression and clinical outcomes [J]. J Neurosurg, 2014, 120(6): 1484-1495.
[12] 荣道建，何　颖，杨晓健，等. 三维时间飞跃法磁共振血管成像在原发性三叉神经痛诊治中的临床价值[J]. 中国临床神经外科杂志，2015，20（4）：241-243.
[13] 解自行，孙　涛，王　岩，等. 磁共振CISS和TOF序列对三叉神经痛减压术的指导价值[J]. 中华神经外科杂志，2014，30（3）：275-278.

相似文献/References:

[1]蒋　伟　孙守家　高　攀　张晓静　舒　凯　雷　霆　李　龄.异常椎基底动脉压迫致三叉神经痛的临床特点及显微手术治疗（附16例分析）[J].中国临床神经外科杂志,2016,(02):69.[doi:10.13798/j.issn.1009-153X.2016.02.002]
　JIANG Wei,SUN Shou-jia,GAO Pan,et al.Clinical features and microsurgical treatment of trigeminal neuralgia caused by abnormal vertebrobasilar artery compression (report of 16 cases)[J].,2016,(10):69.[doi:10.13798/j.issn.1009-153X.2016.02.002]
[2]张海红　马　磊　张　威　郭　康　衡立君　贾　栋.垂体腺瘤MRI特征与视觉功能损害的关系分析[J].中国临床神经外科杂志,2016,(01):27.[doi:10.13798/j.issn.1009-153X.2016.01.010]
　ZHANG Hai-hong,MA Lei,ZHANG Wei,et al.Analysis of MRI characteristics and visual function in patient with pituitary adenomas[J].,2016,(10):27.[doi:10.13798/j.issn.1009-153X.2016.01.010]
[3]宫　睿　付　锴　杨振宇　张继波　刘学猛　赵时雨　杨桂芳　张　捷.脑内病变MRI定位立体定向活检术33例[J].中国临床神经外科杂志,2015,(06):357.[doi:10.13798/j.issn.1009-153X.2015.06.013]
[4]荣道建　何　颖　杨晓健　赵　骞　赵俊伟　杨　峰.三维时间飞跃法磁共振血管成像在原发性三叉神经痛诊治中的临床价值[J].中国临床神经外科杂志,2015,(04):241.[doi:10.13798/j.issn.1009-153X.2015.04.018]
[5]韩立志　吴光耀.颅内脱髓鞘假瘤磁共振影像表现与代谢物特征分析[J].中国临床神经外科杂志,2015,(03):147.[doi:10.13798/j.issn.1009-153X.2015.03.006]
　HAN Li-zhi,WU Guang-yao..Analysis of MRI findings and metabolites features of intracranial demyelinating pseudotumors[J].,2015,(10):147.[doi:10.13798/j.issn.1009-153X.2015.03.006]
[6]杨静波　李仕广.桥小脑角区脑膜瘤与内听道及颅神经关系的MRI特征分析[J].中国临床神经外科杂志,2015,(03):172.[doi:10.13798/j.issn.1009-153X.2015.03.016]
[7]何少宇,李　玉,李　杨,等.原发性三叉神经痛微血管减压术中岩静脉的处理[J].中国临床神经外科杂志,2016,(12):747.[doi:10.13798/j.issn.1009-153X.2016.12.005]
　HE Shao-yu,LI Yu,LI Yang,et al.Management of petrosal vein in microvascular decompression for primary trigeminal neuralgia[J].,2016,(10):747.[doi:10.13798/j.issn.1009-153X.2016.12.005]
[8]耿亮,王义宝,王占福.微血管减压术治疗原发性三叉神经痛126例[J].中国临床神经外科杂志,2017,(02):95.[doi:10.13798/j.issn.1009-153X.2017.02.011]
[9]林昆哲　袁邦清　黄绍宽　杨　光　叶忠兴　林杨杨.生长激素型与无功能型垂体腺瘤的垂体后叶MRI高信号影分析[J].中国临床神经外科杂志,2017,(03):158.[doi:10.13798/j.issn.1009-153X.2017.03.010]
　LIN Kun-zhe,YUAN Bang-qing,HUANG Shao-kuan,et al.Analysis of posterior pituitary hyperintense signal on MRI in patients with growth hormone-secreting and nonfunctional pituitary adenomas[J].,2017,(10):158.[doi:10.13798/j.issn.1009-153X.2017.03.010]
[10]罗　波 范润金 张　逵 尚　彬 刘　毅 唐晓平.全程围套式微血管减压术治疗原发性三叉神经痛的临床分析[J].中国临床神经外科杂志,2017,(10):687.[doi:10.13792017.09/j.issn.1009-153X.2017.10.005]
　LUO Bo,FAN Rui-jin,ZHANG Kui,et al.Clinical analysis of the treatment of primary trigeminal neuralgia by whole-range encircling method of microvascular decompression[J].,2017,(10):687.[doi:10.13792017.09/j.issn.1009-153X.2017.10.005]
[11]师忠杰　高　鑫　范超凡等.3D Slicer三维重建影像在微血管减压术治疗原发性三叉神经痛中的应用[J].中国临床神经外科杂志,2021,26(11):827.[doi:10.13798/j.issn.1009-153X.2021.11.003]
　SHI Zhong-jie,FAN Chao-fan,GAO Xin,et al.Application of three-dimensional reconstruction of MRI images using 3D Slicer software in microvascular decompression for patients with primary trigeminal neuralgia[J].,2021,26(10):827.[doi:10.13798/j.issn.1009-153X.2021.11.003]

备注/Memo

备注/Memo:
基金项目：北京市卫生系统215高层次卫生技术人才学术骨干项目（2014-3-061）作者单位：100053 北京，首都医科大学宣武医院神经外科（齐　猛、孙　澎、陆　夏、梁建涛），放射科（张　敏）通讯作者：梁建涛，E-mail：liangjt0001@163.com
更新日期/Last Update: 1900-01-01