3D-SPACE在脑脊液鼻漏的诊断价值  

Three-dimensional sampling perfection with application-optimized contrasts using different flip angle evolutions(3D-SPACE) in rhinorrhea:diagnostic value

作　　者：谢方民[1] 陈晓雷[2] 张春普[1] 郑伟[1] 马宪存[1] 孙文鹏[1] 曹春光[1] 

机构地区：[1]泰山医学院附属医院神经外科,山东泰安271000 [2]解放军总医院神经外科,北京100853

出　　处：《中华神经外科疾病研究杂志》2013年第5期439-441,共3页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的探讨可变翻转角的三维快速自旋回波序列(3D-SPACE)在诊断脑脊液鼻漏中的诊断价值。方法对32例脑脊液鼻漏患者给予常规自旋回波(SE)序列和3D-SPACE扫描,比较二者在诊断脑脊液鼻漏中的诊断价值。结果 3D-SPACE显示脑脊液漏病变率为84.3%(27/32),常规SE显示率为46.8%,二者在显示病变方面有显著差异(P<0.05)。结论 3D-SPACE序列在脑脊液鼻漏的诊断中有着可靠的临床价值,为手术治疗提供了重要依据。Objective To evaluate three-dimensional sampling perfection with application-optimized contrasts using different flip angle evolutions （3D-SPACE） sequence in the diagnosis of rhinorrhoea. Methods Conventional spin echo sequence and 3D-SPACE sequence were performed in 32 cases of rhinorrhoea. Radiological results were compared and analyzed. Results The detection rate of rhinorrhoea was 84.3% （27/32） in 3D-SPACE and 46.8% （15/32） in conventional SE images. The difference between two groups was statistically significant （P 〈0.05）. Conclusion 3D-SPACE sequence is reliable in the diagnosis of cerebrospinal fluid leakage, providing an important basis for the operation.

关 键 词：脑脊液漏 诊断 磁共振 

分 类 号：R651.74[医药卫生—外科学]