磁共振断层血管成像对面肌痉挛微血管减压术前指导的价值.pdfVIP

童签塞 和 能 神经外科杂志2004年第l7卷第l期 Chin j Stereotact Funct Neurosurg，Feb．2004，Vo1．17，No．1 9 · 论著· 磁共振断层血管成像对面肌痉挛 微血管减压术前指导的价值 朱 军 赵卫国 【摘要】 目的 探讨磁共振断层血管成像(magnetic resonance tomographic angiography，MRTA)技术对面肌痉 挛微血管减压术前指导的价值。方法 2001年10月至2003年3月152例面肌痉挛患者术前行MRTA影像检查， 了解责任血管的来源及走向，对其中51例MRTA水平位上的绒球小结叶凸起程度及桥延外侧池蛛网膜下腔大小 等影响手术难易度的因素进行测量评估，并与显微操作时间作比较。结果 责任血管的类型、症状侧绒球小结叶 凸起程度、桥延外侧池蛛网膜下腔间隙大小，都会对手术的难易度产生影响。结论 术前 MRTA能预测手术难易 度，对微血管减压治疗面肌痉挛有重要的术前指导价值。 【关键词】 面肌痉挛；微血管减压术；磁共振断层血管成像 中图分类号：R745．1 文献标识码：A 文章编号：1008—2425(2004)O1—0009—04 Usefulness of MRTA before microvascular decompression in patients with hemifacial spasm Zhu Jun，Zhao Weiguo．Department of Neurosurgery，Rui Jin Hospital of Shanghai Second Medical University，Shanghai，200025，China 【Abstract] 0bjective To research the instructive value of MRTA before the microvascular de— compression in the patients with hemifacial spasm．Methods Pre—operative MRTA imagings of 152 HFS patients were performed between October 2001 and March 2003．The source of offending vessels was determined before the operation．The convexity extent of flocculus and the size of subarachoid space were measured on the axial MRTA prior to MVD on the symptomatic side of 5 1 cases．Results Different type of offending vessels determine the way of decompression and the operation difficulty ． Furthermore the greater convexity extent of flocculus and smaller size of subarachoid space would in— crease operating difficulty．Conclusion Pre—operative MRTA imaging is useful in identify the offend— ing vessels and predict the operation difficulty，and so doing can provide surgeons with valuable infor— mation regrardin