临床神经外科杂志2012，Vol.9Issue(1)：18-21,4.DOI:10.3969/j.issn.1672-7770.2012.01.007
三叉神经痛微血管减压术中责任血管与磁共振影像的相关性
Responsible vessels correlation of preoperative magnetic resonance imaging and surgical findings in microvascular decompressin for trigeminal neuralgia
邹元杰 1刘宏毅 1张岩松 1张锐 1杨坤 1常义 1刘文 2肖朝勇2
作者信息
- 1. 210029 南京医科大学附属脑科医院神经外科
- 2. 210029 南京医科大学附属脑科医院放射科
- 折叠
摘要
Abstract
Objective To analyse preoperative magnetic resonance image ( MRI) of the responsible vessels with comparison to the surgical findings in microvascular decompression (MVD) for primary trigeminal neuralgia. Methods The review include 95 patients with primary trigeminal neuralgia(TN) who were submitted to a preoperative 3D-CISS, 3D-T0F-MRA, 3D-T, with contrast. Image analyses was performed by surgeon and independent observer compared with surgical findings in operation or operative video. The study determined that the vessels were responsible for the compression, the degree of the neurovascular compression ( N VC) and the location of the compression along the nerve root. Results 86 cases in this group present vessels in relation to the nerve, determined in operative findings. Among 9 patients that did not show NVC at image analysis, three did not have NVC at intraoperative observation, resulting in six false-negative cases. The effective rate was 95.7%. Conclusions The preoperative image findings of responsible vessels were correlation with surgical findings at MVD for TN.关键词
三叉神经痛/微血管减压术/磁共振成像/责任血管Key words
trigeminal neuralgia/ microvascular decompressin/ magnetic resonance imaging/ responsible vessels分类
医药卫生引用本文复制引用
邹元杰,刘宏毅,张岩松,张锐,杨坤,常义,刘文,肖朝勇..三叉神经痛微血管减压术中责任血管与磁共振影像的相关性[J].临床神经外科杂志,2012,9(1):18-21,4.
