多模态影像融合技术在显微血管减压术治疗原发性舌咽神经痛中的应用  

Application of multimodal image fusion technology in microvascular decompression for primary glossopharyngeal neuralgia

作　　者：赵田恒 朱徐楠 杨思源 王嘉禾 陈罡[2] 孙青[2] ZHAO Tian-heng;ZHU Xu-nan;YANG Si-yuan;WANG Jia-he;CHEN Gang;SUN Qing(School of Medicine,Soochow University,Suzhou 215006,China;Department of Neurosurgery,The First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学医学院,江苏苏州215006 [2]苏州大学附属第一医院神经外科,江苏苏州215006

出　　处：《中国临床神经外科杂志》2024年第2期70-74,共5页Chinese Journal of Clinical Neurosurgery

基　　金：国家自然科学基金(81971117)。

摘　　要：目的探讨多模态影像融合技术在显微血管减压术(MVD)治疗原发性舌咽神经痛中的作用。方法回顾性分析2019年1月至2020年1月MVD治疗的3例原发性舌咽神经痛的临床资料。术前均行3D-TOF-MRA和3D-FIESTA检查,利用BrainLab软件进行多模态影像融合,根据影像融合结果行MVD。结果多模态融合影像清晰显示责任动脉与神经的关系,3例均顺利完成手术,术中责任血管位置与术前多模态融合影像结果一致,术后即刻疼痛明显缓解,术后无出血、颅内感染、脑脊液漏。结论原发性舌咽神经痛进行MVD时,多模态影像融合技术可清晰显示责任血管,有利于提高手术的准确性、安全性、有效性,减少手术创伤。Objective To investigate the role of multimodal image fusion technology in microvascular decompression(MVD)for patients with primary glossopharyngeal neuralgia.Methods The clinical data of 3 patients with primary glossopharyngeal neuralgia underwent MVD from January 2019 to January 2020 were retrospectively analyzed.All patients underwent 3D-TOF-MRA and 3D-FIESTA examinations before operation,and multimodal image fusion was performed by the BrainLab software.MVD was performed according to the results of the fusion images.Results Multimodal fusion images clearly showed the relationship between responsible vessels and nerves in all 3 patients,who were successfully completed the operation.The position of responsible vessels comfirmed under the microscope was consistent with the results of multimodal fusion images.Pain was significantly relieved immediately after operation in all 3 patients,and there was no postoperative bleeding,intracranial infection,or cerebrospinal fluid leakage.Conclusions When patients with primary glossopharyngeal neuralgia undergoing MVD,multimodal image fusion technology can clearly show the responsible vessels,which is helpful to improving the surgical accuracy,safety,and effectiveness,and reducing the surgical trauma.

关 键 词：原发性舌咽神经痛 显微血管减压术 多模态影像融合技术 

分 类 号：R745.13[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]