[1]邢涛,付志辉,张荣俊,等.高血压脑出血患者偏瘫相关弥散张量成像研究[J].临床神经外科杂志,2014,(04):255-261.

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高血压脑出血患者偏瘫相关弥散张量成像研究()

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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

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

Keywords:: intracerebral hemorrhage; diffusion tensor imaging; corticospinal tract

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。

Abstract:: 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 (CSTs) in 32 patients after 3 weeks from onset. Furthermore，the relationship among the damage extent of CSTs, NIHSS scores and Brunnstrom limb scores was analyzed. Results A highly negative correlation was found between the damage extent of CSTs and Brunnstrom limb scores, while a high positive correlation was also found between the damage extent of CSTs and NIHSS scores (P<0.001). Conclusion DTI could directly demonstrate the damage extent of CSTs which were closely related to the motor dysfunction in patients with hypertensive intracranial hemorrhage.

更新日期/Last Update: 2014-08-15