高血压脑出血患者偏瘫相关弥散张量成像研究  

Study on diffusion tensor imaging related to hemiplegia in patients with hypertensive intracranial hemorrhage

作　　者：邢涛[1] 付志辉[2] 张荣俊[1] 蒋文斌[1] 唐方英 沈惠英 贡志刚[1] 

机构地区：[1]苏州市中医医院神经外科,215009 [2]苏州市中医医院放射科,215009

出　　处：《临床神经外科杂志》2014年第4期255-256,261,共3页Journal of Clinical Neurosurgery

基　　金：江苏省中医药科技项目(LB11022);苏州市科技发展计划(SYSD2011154)

摘　　要：目的利用磁共振弥散张量成像(DTI)技术研究脑出血患者偏瘫肢体功能障碍情况。方法运用DTI技术检测32例脑出血患者发病3周左右病变侧皮质脊髓束(CST)受损情况,分析其与患肢Brunnstrom评分及NIHSS评分之间的关系。结果 DTI所显示的CST受损程度与Brunnstrom评分呈负相关(P<0.001),与NIHSS评分呈正相关(P<0.001)。结论 DTI可直观显示与脑出血患者肢体运动功能障碍密切相关的CST受损情况,有助于病情的客观评估。Objective To valuate the application of diffusion tensor imaging （ DTI ） in analyzing hemiplegia in patients with hypertensive intracranial hemorrhage .Methods DTI techniques were applied to detect the damage extent of the corticospinal tracts （ CST） in 32 patients after 3 weeks from onset .Furthermore , the relationship among the damage extent of CST , NIHSS scores and Brunnstrom limb scores was analyzed .Results A highly negative correlation was found between the damage extent of CST and Brunnstrom limb scores , while a high positive correlation was also found between the damage extent of CST and NIHSS scores （ P＆lt;0 .001 ） .Conclusion DTI could directly demonstrate the damage extent of CST which are closely related to the motor dysfunction in patients with hypertensive intracranial hemorrhage .

关 键 词：脑出血 弥散张量成像 皮质脊髓束 

分 类 号：R604[医药卫生—外科学]