术前DTT在运动区脑肿瘤中的应用研究

发布时间：2018-04-16 13:11

本文选题：弥散张量成像 + 运动区　；参考：《国际神经病学神经外科学杂志》2017年05期

【摘要】：目的通过对脑运动区肿瘤术前行磁共振弥散张量纤维素成像(Diffusion Tensor Tractography;DTT)技术,了解肿瘤对同侧皮质脊髓束(Cortico Spinal Tract;CST)的影响情况,从而探讨DTT技术在运动区脑肿瘤手术治疗过程中的指引作用,进一步指导临床手术及术后肢体功能康复锻炼。方法对2013年09月~2016年06月诊治的32例运动区脑肿瘤患者进行回顾分析,所有患者术前均行DTT检查,了解肿瘤与周边神经纤维束的关系,从而进行手术规划,并对患者术前、术后功能恢复进行早期评估。所有患者术后均随访6个月以上。结果 32例患者术后均顺利出院,患者3个月后肢体功能恢复情况与早期DTT技术评估结果高度一致。结论 DTT通过早期了解神经纤维束与肿瘤的关系,能够准确评估患者术后远期肢体功能恢复情况,有效地指导临床康复工作的制定。
[Abstract]:Objective to investigate the effect of Tensor tractography on ipsilateral cortico Spinal TSTs in ipsilateral cortical spinal tract by using magnetic resonance diffusion cellulose imaging (Tensor) before operation for brain motor area tumors.The purpose of this study was to explore the guiding role of DTT in the surgical treatment of brain tumors in motor area, and to further guide the clinical operation and postoperative rehabilitation of limb function.Methods from September 2013 to June 2016, 32 patients with brain tumors in motor area were retrospectively analyzed. All patients were examined with DTT before operation to understand the relationship between tumor and peripheral nerve fiber bundle, so as to plan the operation.Postoperative functional recovery was evaluated early.All patients were followed up for more than 6 months.Results all 32 patients were discharged successfully. The recovery of limb function 3 months later was highly consistent with the results of early DTT.Conclusion early understanding of the relationship between nerve fiber bundle and tumor in DTT can accurately evaluate the long-term recovery of limb function and guide the establishment of clinical rehabilitation.
【作者单位】：鄂州市中心医院神经外科;鄂州市中心医院影像科;
【分类号】：R739.41

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