摘要
目的：探讨高血压脑出血（HICH）术后脑白质部分各向异性（FA）值与病人神经功能的关系。方法：选择高血压基底节区出血病人18例，在开颅术后1～3月行磁共振扩散张量成像（DTI），测定双侧内囊后肢的FA值，与患者术后神经功能评分做相关性分析。结果：患侧皮质脊髓束（CST）区FA值均较健侧不同程度降低（P〈0．001）；患侧内囊后肢FA值与美国国立卫生研究院卒中量表（NIHSS）评分呈负相关（P〈0．001）、FA值降低百分比与NIHSS评分呈正相关（P〈0．001）；双侧FA差值与NIHSS评分呈正相关（P〈0．01）。结论：扩散张量成像FA值可以定量分析CST微观结构的变化，在脑出血术后评价神经功能，预测病人预后状况。
Objective.. To explore the relationship between FA value and postoperative neurologic function in patients with hypertensive intracerebral hemorrhage, and to guide clinical practice. Methods： 18 patients with hy- pertensive hemorrhage in basal ganglia region were collected. Diffusion tensor imaging was performed for measure- ment of FA values of bilateral posterior limbs of the internal capsule after craniotomy 1 to 3 months. The relation- ship between FA value and postoperative NHIHSS score of patients were analyzed. Results： FA values of impaired PLIC were lower than those inf the contralateral sides （P〈0. 001）, and were negtively correlated with NIHSS scores （P〈0. 001）. Difference and lower percentage of bilateral FA values were positively correlated with NIHSS scores. Conclusion： FA values can reflect postoperative CST microstructure change in patients with intracerebral hemorrhage, evaluate neurologic function, and predict prognosis.
出处
《陕西医学杂志》
CAS
2013年第12期1583-1585,共3页
Shaanxi Medical Journal
基金
陕西省科技攻关资助项目(编号:2012K16-08-13)
关键词
颅内出血
高血压性
外科学
内囊
@神经功能
IntracraniaI nemorrhage,hypertensive/surgery
Internal capsule
@Nerve function
