摘要
目的通过对脑运动区肿瘤术前行磁共振弥散张量纤维素成像(Diffusion Tensor Tractography;DTT)技术,了解肿瘤对同侧皮质脊髓束(Cortico Spinal Tract;CST)的影响情况,从而探讨DTT技术在运动区脑肿瘤手术治疗过程中的指引作用,进一步指导临床手术及术后肢体功能康复锻炼。方法对2013年09月~2016年06月诊治的32例运动区脑肿瘤患者进行回顾分析,所有患者术前均行DTT检查,了解肿瘤与周边神经纤维束的关系,从而进行手术规划,并对患者术前、术后功能恢复进行早期评估。所有患者术后均随访6个月以上。结果 32例患者术后均顺利出院,患者3个月后肢体功能恢复情况与早期DTT技术评估结果高度一致。结论 DTT通过早期了解神经纤维束与肿瘤的关系,能够准确评估患者术后远期肢体功能恢复情况,有效地指导临床康复工作的制定。
Objective To investigate the guiding role of diffusion tensor tractography （DTT） in surgery for brain tumor in the motor area,and to further guide clinical surgery and rehabilitation of limb function after surgery.Methods A retrospective analysis was performed in 32 patients with brain tumor in the motor area who were admitted to our hospital from September 2013 to June 2016.DTT was performed in all patients before surgery to understand the relationship between tumor and peripheral nerve fibers and then the surgical planning was made.The preoperative and postoperative recovery of limb function was evaluated early.All patients were followed up for more than 6 months.Results All the 32 patients were discharged,and the recovery of limb function after 3 months was consistent with the evaluation results of early DTF.Conclusions By early understanding of the relationship between nerve fibers and tumor in the motor area,DTT can accurately evaluate the long-term recovery of limb function after surgery to effectively guide clinical rehabilitation.
出处
《国际神经病学神经外科学杂志》
北大核心
2017年第5期478-481,共4页
Journal of International Neurology and Neurosurgery
关键词
弥散张量成像
运动区
脑肿瘤
Diffusion tensor imaging
Motor area
Brain tumor
