郑奎宏,郭勇,林伟,黄敏华,张燕群,陶丽冰,赵书臣,梁英魁,钱明珠,花焱.外侧天幕窦增强磁共振表现及其临床意义[J].中国医学影像技术,2006,22(8):1180~1182
外侧天幕窦增强磁共振表现及其临床意义
Contrast-enhanced MR imaging of lateral tentorial sinus and its clinical implications
投稿时间:2006-03-30  修订日期:2006-08-04
DOI:
中文关键词:  天幕窦  磁共振成像  Labbe静脉
英文关键词:Tentorial sinus  Magnetic resonance imaging  Vein of Labbe
基金项目:
作者单位E-mail
郑奎宏 海军总医院放射科,北京 100037 zhengkuihong@vip.sina.com.cn 
郭勇 海军总医院放射科,北京 100037  
林伟 海军总医院放射科,北京 100037  
黄敏华 海军总医院放射科,北京 100037  
张燕群 海军总医院放射科,北京 100037  
陶丽冰 海军总医院放射科,北京 100037  
赵书臣 海军总医院放射科,北京 100037  
梁英魁 海军总医院放射科,北京 100037  
钱明珠 海军总医院放射科,北京 100037  
花焱 海军总医院放射科,北京 100037  
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中文摘要:
      目的 描述外侧天幕窦增强磁共振成像表现,评估其显示外侧天幕窦的能力与价值。方法 随机抽取45例成年患者行颅脑磁共振增强扫描,回顾性分析其外侧天幕窦增强磁共振表现。结果 90侧脑叶中发现外侧天幕窦78侧;其中Ⅰ型(烛台型)23侧(29%),Ⅱ型(多干型)25侧(32%),Ⅲ型(静脉湖型)20侧(26%),Ⅳ型(不确定型)10侧(13%);62侧(69%)可以显示Labbe静脉。结论 增强MRI可以很好的显示外侧天幕窦和Labbe静脉,这对于外科颅底手术了解其结构,避免静脉性梗死非常关键。
英文摘要:
      Objective To investigate the value of MR imaging in assessing the lateral tentorial sinus (LTS), which may provide guidance for preoperative planning. Methods Forty-five adult patients underwent MR imaging of the brain. The studies for delineation of the LTS and its branches were retrospectively evaluated. Results The 78 LTS was detected in 90 lobes. The LTS in each lobe was classified as type Ⅰ (candelabra) in 23 (29%), type Ⅱ (independent veins) in 25 (32%), and type Ⅲ (venous lakes) in 20 (26%), in 10 (13%) of the lobes, the LTS was indeterminate. LTS branches were inconsistently detected, with the exception of the vein of Labbe (VL). The VL was identified in 62 (69%) lobes. Conclusion In many instances, the LTS and VL drainage patterns were well delineated on routine MR images. For selected cases, this information may be crucial during lateral skull base surgery to avoid venous infarct.
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