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CT灌注评价颅骨修补术后脑灌注与神经功能改善 被引量：10

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摘要 去骨瓣减压术是神经外科常用术式,术后康复阶段大量患者出现非脑损伤性神经系统症状如：头晕,疲劳,抑郁,失眠,记忆力下降等;或语言障碍,偏瘫,偏侧感觉障碍等功能区症状.通常认为是由于大气压直接影响颅骨缺损部位压力[1],引起脑血流量（cerebral blood flow,CBF）降低从而导致神经系统症状.以往研究多集中在颅内大血管CBF上,而CT灌注成像可直接显示大脑皮层灰质,白质,基底节区的脑血流量,更具说服力.我们对17例患者分别于术前术后行CTP（CT perfusion,CT灌注）检查,将结果进行对照分析,现报告如下.
作者 伦鹏 刘鹏 王刚 孟庆海 吴泽玉
机构地区 青岛大学附属医院黄岛院区神经外科 青岛市黄岛区开发区医院神经外科 青岛大学附属医院黄岛院区放射科
出处 《中华神经外科疾病研究杂志》 CAS 2014年第3期272-273,共2页 Chinese Journal of Neurosurgical Disease Research
关键词 颅骨缺损 CT灌注 脑血流量
分类号 R739.41 [医药卫生—肿瘤]
  • 相关文献

参考文献9

  • 1Yamamura A, Sato M, Nakamura T. Cranioplasty following decompressive craniectomy : analysis of 300 cases [ J ]. Neurol Surg, 1977, 5(4) : 345 -353.
  • 2Langfitt TW. Increased intracranial pressure [ J]. Clin Neurosurg, 1968, 16:436-471.
  • 3Yoshida K, Furuse M, Izawa A, et al. Dynamics of cerebral blood flow and metabolism in patients with cranioplasty as evaluated by 133Xe CT and 31P magnetic resonance spectroscopy [ J]. J Neurol Neurosurg Psychiatry, 1996, 61(2): 166-171.
  • 4Kuo JR, Wang CC, Chio CC, et al. Neurological improvement after cranioplasty-analysis by transcranial Doppler uhrasonography [ J ]. J Clin Neurosci, 2004, 11 (5) : 486 - 489.
  • 5Sakamoto S, Eguchi K, Kiura Y, et al. CT perfusion imaging in the syndrome of the sinking skin flap before and after cranioplasty [ J]. Clin Neurol Neuresurg, 2006, 108(6): 583-585.
  • 6王国福,刘智良,陈祥忠,宋蓓,冯丽心,梁学军,崔连旭,王辉.颅骨修补术对颅骨缺损患者脑血流动力学的影响(附12例报道)[J].中华神经医学杂志,2007,6(5):491-493. 被引量：15
  • 7Decaminada N, Pernter P, Imondi A, et al. CT Perfusion evaluation of cerebral haemodynamics before and after cranioplasty [ J ]. Neuroradiol J, 2008, 21(4) : 459 -471.
  • 8Suzuki N, Suzuki SH, lwabuchi T. Neurological improvement after cra- nioplasty: analysis by dynamic CT scan [ J ]. Acta Neurochir ( Wien ), 1993, 122(1 -2) : 49 -53.
  • 9Maekawa M, Awaya S, Teramoto A. Cerebral blood flow (CBF) before and after cranioplasty performed during the chronic stage after decompressive craniectomy evaluated by xenon-enhanced computerized tomography (Xe-CT) CBF scanning [ J]. No Shinkei Geka, 1999, 27 (8) : 717 -722.

二级参考文献8

  • 1邓景阳,曹国彬,陆永建,吴立平.外伤性颅骨缺损早期修补对神经功能恢复的影响[J].广东医学,2006,27(5):732-733. 被引量：19
  • 2Winkler PA, Stummer W, Linke R, et al. The influence of cranioplasty on postural blood flow regulation, cerebrovascular reserve capacity and cerebral glucose metabolism [J]. Neurosurg Focus, 2000, 8(1): e9.
  • 3Cushing H. The establishment of cerebral hernia as a decompresive measure for inaccessible brain tumors; with bone defect in temporal and occipital regions[J]. Surg Gynecol Obstet, 1905, 1 : 297-314.
  • 4Langfitt TW. Increased intracranial pressure [J]. Clin Neurosurg, 1968, 16: 436-471.
  • 5Yamaura A, Makino H. Neurological deficits in the presence of the sinking flap following decompressive craniectomy[J]. Neurol Med Chir, 1977, 17(1 Pt 1): 43-53.
  • 6Kuo JR, Wang CC, Chio CC, et al. Neurological improvementafter cranioplasty--analysis by transcranial doppler ultrasonography[J]. J Clin Neurosci, 2004, 11(5): 486 - 489.
  • 7罗新名,焦秋云,刘正义,张亚东.颅骨缺损状态下区域血流速度变化[J].微循环学杂志,2002,12(3):12-13. 被引量：29
  • 8唐运涛,刘伦波,陈宏刚,彭涛,韩杨云.提早修补巨大颅骨缺损的临床效果评估[J].中华神经医学杂志,2004,3(2):135-136. 被引量：30

共引文献14

同被引文献77

  • 1张曙光,潘天鸿,周金方.颞肌外钛网修补额颞区颅骨缺损[J].临床神经外科杂志,2007,4(1):43-45. 被引量：31
  • 2Yoshida K,Furuse M,Izawa A,et al.Dynamics of cerebral blood flow and metabolism in patients with cranioplasty as evaluated by 133Xe CT and 31P magnetic resonance spectroscopy[J].J Neurol Neurosurg Psychiatry,1996,61 (2):166-171.
  • 3Agner C,Dujovny M,Gaviria M.Neurocognitive assessment before and after cranioplasty[J].Acta Neurochir (Wien),2002,144(10):1033-1040 ; discussion 1040.
  • 4Yamaura A,Makino H.Neurologic deficit following craniectomy[J].J Neurosurg,1976,3(45):362.
  • 5Yamaura A,Makino H.Neurological deficits in the presence of the sinking skin flap following decompressive craniectomy[J].Neurol Med Chir (Tokyo),1977,17 (1 Pt 1):43-53.
  • 6Kuo JR,Wang CC,Chio CC,et al.Neurological improvement after cranioplasty-analysis by transcranial doppler ultrasonography[J].J Clin Neurosci,2004,11 (5):486-489.
  • 7Erdogan E,Duz B,Kocaoglu M,et al.The effect of cranioplasty on cerebral hemodynamics:evaluation with transcranial Doppler sonography[J].Neurol India,2003,51 (4):479-481.
  • 8Magnaes B.Body position and cerebrospinal fluid pressure.Part 2:clinical studies on orthostatic pressure and the hydrostatic indifferent point[J].J Neurosurg,1976,44(6):698-705.
  • 9Fodstad H,Ekstedt J,Friden H.CSF hydrodynamic studies before and after cranioplasty[J].Acta Neurochir Suppl (Wien),1979,28(2):514-518.
  • 10Fodstad H,Love JA,Ekstedt J,et al.Effect of cranioplasty on cerebrospinal fluid hydrodynamics in patients with the syndrome of the trephined[J].Acta Neurochir (Wien),1984,70 (1-2):21-30.

引证文献10

二级引证文献50

中华神经外科疾病研究杂志
2014年 第3期

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