实用医学影像杂志2024,Vol.25Issue(6) :462-465.DOI:10.16106/j.cnki.cn14-1281/r.2024.06.015

不同影像学检查在帕金森病脑深部电刺激中的应用

Application of different imaging examinations in DBS for Parkinson's disease

赵锐 秦鹏 范浩杰
实用医学影像杂志2024,Vol.25Issue(6) :462-465.DOI:10.16106/j.cnki.cn14-1281/r.2024.06.015

不同影像学检查在帕金森病脑深部电刺激中的应用

Application of different imaging examinations in DBS for Parkinson's disease

赵锐 1秦鹏 1范浩杰1
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作者信息

  • 1. 461000 河南省许昌市人民医院CT、MRI室
  • 折叠

摘要

目的 分析头部薄层CT和 3.0 T磁共振成像(MRI)融合技术在帕金森病患者脑深部电刺激术(DBS)中的应用及预后效果.方法 选取 2022 年 1 月至 2023 年 7 月期间我院收治的 80 例帕金森病患者,采取随机数字表法将其分为 2 组,每组均为 40 例,对照组患者在电刺激术前采取单纯 3.0T MRI扫描,观察组患者在电刺激术前采取头部薄层CT和 3.0T MRI融合技术扫描,对比 2 组患者扫描结果.结果 2 组左侧电极X轴、右侧电极X、Y、Z轴植入位置差异无统计学意义(P>0.05),2 组左侧电极在Y轴、Z轴植入位置差异有统计学意义(P<0.05);2 组患者术前帕金森病综合评分量表(UPDRS)评分差异无统计学意义(P>0.05),术后 1 周、术后 6 个月,观察组UPDRS评分均低于对照组(P<0.05);观察组并发症发生率为 8%,对照组并发症发生率为 42%,观察组并发症发生率低于对照组(P<0.05).结论 帕金森病患者DBS术中应用头部薄层CT和 3.0T MRI融合技术,可以提升靶点定位准确性,有助于降低患者并发症发生率.

Abstract

Objective To analyze the application and prognostic effect of thin-slice CT and 3.0T MRI fusion technology in deep brain stimulation(DBS)surgery for patients with Parkinson's disease(PD).Methods A total of 80 patients with Parkinson's disease admitted to our hospital from January 2022 to July 2023 were selected and divided into 2 groups with 40 patients in each group by random number table method.Patients in the control group underwent simple 3.0T MRI scanning before electrical stimulation,while patients in the observation group underwent thin-slice CT and 3.0T MRI fusion scanning before electrical stimulation.The scan results of the two groups were compared.Results There was no significant difference in the implantation positions of the left electrode on X axis and the right electrode on X,Y,and Z axis(P<0.05),but there was significant difference in the implantation positions of the left electrode on Y axis and Z axis(P<0.05).There was no significant difference in Parkinson's disease comprehensive score scale(UPDRS)scores between the two groups before surgery(P>0.05).The UPDRS scores of the observation group were lower than those of the control group 1 week and 6 months after surgery(P<0.05).The incidence of com-plications was 8%in the observation group and 42%in the control group.The incidence of complications in the ob-servation group was significantly lower than that in the control group(P<0.05).Conclusion The application of thin-slice CT and 3.0T MRI fusion technology in DBS surgery for Parkinson's disease patients can improve the accuracy of target positioning,shorten the examination time of patients,and reduce the incidence of complications.

关键词

融合技术/头部薄层CT/帕金森病/电刺激术

Key words

Fusion technology/Thin slice CT of the head/Parkinson's disease/Electrical stimulation tech-nique

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出版年

2024
实用医学影像杂志
中华医学会山西分会,山西省人民医院

实用医学影像杂志

影响因子:0.735
ISSN:1009-6817
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