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磁共振成像技术在原发性三叉神经痛微血管减压术前诊断中的应用

孙正巍 曲艺 蒋传路 杨东波

疑难病杂志2013,Vol.12Issue(7):496-498,3.
疑难病杂志2013,Vol.12Issue(7):496-498,3.DOI:10.3969/j.issn.1671-6450.2013.07.002

磁共振成像技术在原发性三叉神经痛微血管减压术前诊断中的应用

Magnetic resonance imaging in the preoperative diagnosis of idiopathic trigeminal neuralgia microvascular decompression

孙正巍 1曲艺 1蒋传路 1杨东波1

作者信息

  • 1. 150086 哈尔滨医科大学第二临床医学院神经外科一病房
  • 折叠

摘要

Abstract

Objective To discuss the diagnosis value of magnetic resonance imaging in micro-vascular decompression of idiopathic trigeminal neuralgia.Methods Blinded analysis of 88 cases diagnosed with idiopathic trigeminal neuralgia in patients with 3D-TOF,by a neurosurgeon and two radiologists to participate in nerve,to compare intraoperative exploration and curative effect of micro-vascular decompression craniotomy control.Results 88 cases of idiopathic trigeminal neuralgia in patients with preoperative 3D-TOF sequence of images shows symptoms of neurovascular compression side of the positive rate of 86.4% (76/88),non-symptom side of the positive rate of 12.5% (11/88),the positive difference was significant (P <0.05).During the operation,83 cases (94.3 %) were found neurovascular compression and 5 cases (5.7 %) without neurovascular compression,the symptoms dispeared or relieved in 81 cases(92.0%) after operation.Conclusion MR can clearly show the trigeminal nerve and the relationship between the neighboring blood vessels,with high clinical value.

关键词

磁共振成像/三叉神经痛,原发性/微血管减压术

Key words

Magnetic resonance imaging/ Trigeminal neuralgia, idiopathic/ Micro-vascular decompression

引用本文复制引用

孙正巍,曲艺,蒋传路,杨东波..磁共振成像技术在原发性三叉神经痛微血管减压术前诊断中的应用[J].疑难病杂志,2013,12(7):496-498,3.

疑难病杂志

OACSTPCD

1671-6450

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