| SPECT在脑积水诊断和治疗中的应用价值 |
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| 引用本文： | 关峰,胡志强,王政伟,黄辉,童冠圣,朱广通,戴缤,肖智勇,张尧. SPECT在脑积水诊断和治疗中的应用价值[J]. 神经疾病与精神卫生, 2008, 8(6) |
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| 作者姓名： | 关峰 胡志强 王政伟 黄辉 童冠圣 朱广通 戴缤 肖智勇 张尧 |
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| 作者单位： | 1. 北京世纪坛医院神经外科,100038
2. 北京世纪坛医院核医学科,100038 |
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| 摘 要： | 目的 探讨单光子发射型计算机体层摄影(SPECT)在脑积水诊断和治疗中的应用价值.方法 选择经CT或MRI检查确诊的脑积水患者36例进行SPECT检查.采用99mTc-DTPA185MBq,经腰穿注入脊髓蛛网膜下腔,注药后1,3,6,24,48 h摄取图像进行分析.结果 36例患者中梗阻性脑积水26例,交通性脑积水9例,脑萎缩1例.正常情况下SPECT前后位像脑脊液动力学表现为典型的上行三叉影像.梗阻性脑积水其核素明显蓄积于腰池和基底池或囊腔内,其早期典型的三叉上行影像亦消失.交通行脑积水表现为上行三叉影像圆钝,核素在脑表面和纵裂区蓄积且消散时间延长.26例梗阻性脑积水患者均行神经内镜治疗,术中及术后均未发生严重并发症且恢复满意,随访1～30个月均无复发.9例交通性脑积水行脑室腹腔分流术.随访6～28个月,8例恢复良好,1例症状体征及脑室系统无明显改善.结论 应用SPECT进行脑脊液动力学评价,对于判断和区分不同类型的脑积水及指导临床治疗具有重要意义.
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| 关 键 词： | 脑积水 脑脊液流体动力学 |
The value of SPECT in the diagnosis and treatment of hydrocephalus |
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| GUAN Feng,HU Zhi-qiang,WANG Zheng-wei,et al.. The value of SPECT in the diagnosis and treatment of hydrocephalus[J]. Nervous Diseases and Mental Health, 2008, 8(6) |
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| Authors: | GUAN Feng HU Zhi-qiang WANG Zheng-wei et al. |
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| Affiliation: | GUAN Feng,HU Zhi-qiang,WANG Zheng-wei,et al. Department of Neurosurgery,Beijing Shijitan Hospital,Beijing 100038,China |
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| Abstract: | Objective To investigate the value of the single-photon emission computed tomography(SPECT)in the diagnosis and treatment of hydrocephalus.Methods By CT or MRI examination,36 cases were confirmed having hydrocephalus and were taken for a SPECT examination.99 mTc-DTPA 185MBq was injected into the spinal subarachnoid by lumbar puncture.The images at 1,3,6,24 and 48 hrs after the injection of this drug were obtained and an analysis was performed.Results In the 36 cases,obstructive hydrocephalus is 26 cases,tra... |
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| Keywords: | SPECT 99mTc-DTPA |
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