鼓乳断面神经MR斜矢状位成像方法研究 - 第三军医大学学报.DOC

鼓乳段面神经MR斜矢状位成像方法研究 于海玲1* 鞠建宝1 张忻宇2 刘丰春3 1 青岛大学医学院附属医院耳鼻咽喉头颈外科 2 青岛大学医学院附属医院放射科 3 青岛大学医学院断层解剖教研室 【中文摘要】 目的：对颞骨内鼓乳段面神经的MR斜矢状位成像方法进行研究。方法：选择成年尸头标本20例及正常成年人50例进行MR斜矢状位成像，采用稳态采集的快速成像技术进行扫描，并对鼓乳段面神经的斜矢状位成像方法进行探讨。结果：20例尸头标本和50例正常人均经斜矢状位扫描获得鼓乳段面神经的影像。结论：MR斜矢状位扫描能良好显示鼓乳段面神经的全程，从而可为临床鼓乳段面神经疾病的诊断、治疗等提供参考。 关键词：鼓乳段面神经；磁共振成像;斜矢状位 Study of tympanic and mastoid segment of facial nerveby using an oblique sagittal MR scanning technique YU Hai-ling，1.Department of Otolaryngology of the Affilicated Hospital of Qingdao Medical College ,Qingdao266003,China; 2. Department of Radiology of the Affilicated Hospital of Qingdao Medical College,Qingdao266003,China; 3. Department of Sectional Anatomy of Qingdao Medical College,Qingdao266071,China) [ABSTRACT] Objective: Make studys of tympanic and mastoid segment of facial nerve by using an oblique sagittal MR scanning technique. Methods: We choose 3D-Fast Image Employing Steady-state Acquisition (3D-FIESTA) to make scanning of 50 normal people and 20 temporal bones of adults. All the ears underwent an oblique sagittal magnetic resonance scanning of both two ears and then make observations. Results: Oblique sagittal MR scanning makes it sure to observe the complete image of the tympanic and mastoid segment of facial nerve. We can observe the image of the tympanic and mastoid segment of facial nerve clearly and get more details about it through this position. Conclusion: Oblique sagittal MR scanning is the best imaging method of tympanic and mastoid segment of facial nerve which may provide valuable evidences for diagnosis and operations about ear disease. [KEY WORDS] Tympanic and mastoid segment of facial nerve; Magnetic resonance imaging; Oblique Sagittal Plane 长期以来，传统的影像学检查方法均不能充分显示颞骨内鼓乳段面神经的影像。随着医学影像技术的发展，颞骨内段面神经的影像学检查及显示技术有了长足进展。磁共振检查凭借其良好的软组织分辨力和任意方向扫描成像等优势，日益成为面神经的重要影像学检查方法。面神经MR的常规扫描层面有轴位、冠状位及矢状位，但均不能使鼓乳段面神经显示最佳，导致难以全面、直观地观察该段面神经的行程、毗邻及管径大小的改变等，不利于早期及微小的病变的发现。以往应用MR对鼓乳段面神经的研究较少，有学者[1-3]认为斜矢状位是显示鼓乳段面神经的最佳位置。 本研究中我们应用先进的3.0T MR扫描设备，探讨颞骨内