3D-CE-TOF-SPGR对静脉性颅神经血管压迫综合征的应用

doi:10.7517/issn.1674-0475.191220

影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (3): 560-565.DOI: 10.7517/issn.1674-0475.191220

3D-CE-TOF-SPGR对静脉性颅神经血管压迫综合征的应用

胡兴荣¹, 贵丹^1,2, 陈军³, 向海波¹, 陈华东¹, 黄治华¹, 邱妮妮¹

1. 恩施土家族苗族自治州中心医院/湖北民族大学恩施临床医学院影像科, 湖北恩施 445000;
2. 湖北民族大学, 湖北恩施 445000;
3. 武汉大学人民医院, 湖北武汉 430060

收稿日期:2019-12-24 出版日期:2020-05-15 发布日期:2020-05-15
通讯作者: 胡兴荣
基金资助:
恩施州科技计划研究与开发项目（D20140024）和湖北省卫生厅科研项目（JX6C-61）资助

Application of 3D-CE-TOF-SPGR in Venous Cranial Neurovascular Compression Syndrome

HU Xingrong¹, GUI Dan^1,2, CHEN Jun³, XIANG Haibo¹, CHEN Huadong¹, HUANG Zhihua¹, QIU Nini¹

1. Department of Medical Imaging, the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture/Enshi Clinical Medical School of Hubei Minzu University, Enshi 445000, Hubei, P. R. China;
2. Hubei Minzu University, Enshi 445000, Hubei, P. R. China;
3. Renming Hospital of Wuhan University, Wuhan 430060, Hubei, P. R. China

Received:2019-12-24 Online:2020-05-15 Published:2020-05-15

摘要/Abstract

摘要： 探讨3D-CE-TOF-SPGR序列在诊断静脉性颅神经血管压迫综合征中的临床应用价值。研究对象为我院收治的经手术证实且行磁共振断层血管成像（MRTA）检查的198例中7例静脉性颅神经血管压迫综合征患者，并与微血管减压术（MVD）中所见进行对照，其中原发性三叉神经痛5例、面肌痉挛2例。MRTA包括3D-FIESTA、3D-TOF-SPGR和3D-CE-TOF-SPGR序列，颅神经受压与责任静脉血管3D-FIESTA序列显示1例、3D-TOF-SPGR序列显示1例、3D-CE-TOF-SPGR序列显示6例，独立应用3D-CE-TOF-SPGR序列显示能力最佳（6/7，85.71%）。因此，MRTA成像技术中，3D-CE-TOF-SPGR序列能清楚显示目标颅神经及相应颅神经受压的静脉性责任血管，对指导临床MVD手术具有重要价值。

关键词: 颅神经, 静脉性血管压迫, 磁共振成像, 磁共振断层血管成像, 微血管减压术

Abstract: To explore the clinical value of application for 3D-CE-TOF-SPGR sequence in the diagnosis of venous cranial neurovascular compression syndrome. In our hospital 198 cases being carried out with MRTA examination were retrospectively analyzed, and there was 7 patients (5 cases of primary trigeminal neuralgia, 2 cases of facial spasm) with venous cranial nerve vascular compression syndrome confirmed by surgery.MRTA included 3D-FIESTA, 3D-TOF-SPGR and 3D-CE-TOF-SPGR sequences, one case showed 3D-FIESTA sequence, one case showed 3D-TOF-SPGR sequence and 6 cases showed 3D-CE-TOF-SPGR sequence, and independent application of 3D-CE-TOF-SPGR sequence is the best way to display(6/7, 85.71%). In MRTA Imaging Technology the 3D-CE-TOF-SPGR sequence can clearly show the objective cranial nerve and the veins responsible vessels for corresponding cranial nerve compression, which is of great value in guiding clinical MVD surgery.

Key words: cranial nerve, venous vascular compression, magnetic resonance imaging(MRI), MR tomographic angiography(MRTA), microvasular decompression(MVD)

胡兴荣, 贵丹, 陈军, 向海波, 陈华东, 黄治华, 邱妮妮. 3D-CE-TOF-SPGR对静脉性颅神经血管压迫综合征的应用[J]. 影像科学与光化学, 2020, 38(3): 560-565.

HU Xingrong, GUI Dan, CHEN Jun, XIANG Haibo, CHEN Huadong, HUANG Zhihua, QIU Nini. Application of 3D-CE-TOF-SPGR in Venous Cranial Neurovascular Compression Syndrome[J]. Imaging Science and Photochemistry, 2020, 38(3): 560-565.

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3D-CE-TOF-SPGR对静脉性颅神经血管压迫综合征的应用

Application of 3D-CE-TOF-SPGR in Venous Cranial Neurovascular Compression Syndrome

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