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脑卒中后皮质脊髓束与上肢运动功能关系的弥散张量成像研究

张丽华 郭龙军 郄淑燕 米立新 王璐怡 甄巧霞

中国康复理论与实践Issue(1):103-105,3.
中国康复理论与实践Issue(1):103-105,3.DOI:10.3969/j.issn.1006-9771.2016.01.023

脑卒中后皮质脊髓束与上肢运动功能关系的弥散张量成像研究

Relationship between Corticospinal Cord Tract and Upper Limb Function in Stroke Patient:A Diffusion Tensor Imaging Study

张丽华 1郭龙军 2郄淑燕 1米立新 1王璐怡 1甄巧霞1

作者信息

  • 1. 首都医科大学附属北京康复医院康复诊疗中心,北京市100144
  • 2. 首都医科大学附属北京康复医院放射科,北京市100144
  • 折叠

摘要

Abstract

Objective To observe the relationship between injury of corticospinal cord tract (CST) in basal ganglia and upper limb func-tion after stroke using diffusion tensor imaging (DTI). Methods 18 stroke inpatients hospitalized from January, 2013 to July, 2015 accepted DTI, and their upper limb function was evaluated with simple Fugl-Meyer Assessment and Japan Upper Limb Function Test. The fractional anisotropy (FA) of CST in basal ganglia of affected and unaffected sides were compared, and the correlation between FA of affected CST and upper limb motor function were analyzed. Results The FA was significantly less in the affected CST than in the unaffected CST (t=-21.09, P<0.001). The FA of the affected CST correlated with the scores of simple Fugl-Meyer Assessment (r=0.570, P<0.05) and Japan Upper Limb Function Test (r=0.509, P<0.05). Conclusion CST is injured after stroke, which may related to the upper limbs motor function impairment.

关键词

脑卒中/弥散张量成像/皮质脊髓束/上肢/运动功能

Key words

stroke/diffusion tensor imaging/corticospinal cord tract/upper limbs/motor function

分类

医药卫生

引用本文复制引用

张丽华,郭龙军,郄淑燕,米立新,王璐怡,甄巧霞..脑卒中后皮质脊髓束与上肢运动功能关系的弥散张量成像研究[J].中国康复理论与实践,2016,(1):103-105,3.

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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