[1]曾春,李咏梅,欧阳羽,等.脑深部静脉和颈内静脉改变与多发性硬化的相关性研究[J].陆军军医大学学报(原第三军医大学学报),2012,34(19):1994-1997.
 Zeng Chun,Li Yongmei,Ouyang Yu,et al.Correlation of changes in cerebral deep vein and internal jugular vein with multiple sclerosis[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(19):1994-1997.
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
34卷
期数:
2012年第19期
页码:
1994-1997
栏目:
论著
出版日期:
2012-10-15

文章信息/Info

Title:
Correlation of changes in cerebral deep vein and internal jugular vein with multiple sclerosis
作者:
曾春 李咏梅 欧阳羽 罗天友 吕发金 陈璇 王忠平 侯焕新
重庆医科大学附属第一医院放射科
Author(s):
Zeng Chun Li Yongmei Ouyang Yu Luo Tianyou Lu Fajin Chen Xuan Wang Zhongping Hou Huanxin
Department of Radiology, First Affiliated Hospital, Chongqing Medical University, Chongqing, 400016, China
关键词:
多发性硬化 磁共振成像 脑深部静脉 颈内静脉
Keywords:
multiple sclerosis magnetic resonance imaging cerebral deep vein internal jugular vein
分类号:
R445.2; R744.51; R816.1
文献标志码:
A
摘要:
目的      探讨脑内深部髓质静脉(deep medullary veins,DMVs)特征表现和颈内静脉(internal jugular veins,IJVs)改变与多发性硬化(multiple sclerosis,MS)的关系。      方法      对30例复发缓解型MS患者和30例年龄、性别匹配的非MS对照组行常规磁共振成像(magnetic resonance imaging,MRI)、三维增强T2*加权血管成像(3-dimensional enhanced T2*-weighted angiography,3-D ESWAN)和3-D时间分辨率对比剂动力成像(time-resolved imaging of contrast kinetics,TRICKs)扫描。观察患者和对照组侧脑室体旁DMVs在3-D ESWAN改变并评分;比较患者与对照组DMVs评分和IJVs狭窄发生率的差异,并评价DMVs和IJVs改变分别与EDSS评分和病程的相关性。      结果      ① MS患者DMVs评分(1.67 ± 0.25)较对照组(3.00 ± 0.00)显著降低(P<0.01);16例病程>2.0 年者为1分,8例病程0.5~2.0年者为2分,二者与对照组比较差异均有统计学意义(P<0.01),6例病程<0.5年者与对照组比较差异无显著性(P>0.05)。9个慢性病灶“穿通静脉”扩张和延长。② 5例(16.7%)MS患者和2例(6.7%)对照组患者IJVs狭窄,2组IJVs狭窄发生率差异无统计学意义(P>0.05)。③ IJVs狭窄与DMVs减少无显著相关性(P>0.05)。④ DMVs减少、变短与患者病程呈显著负相关(r=-0.89, P<0.01),与EDSS评分无显著相关性(r= 0.05, P>0.05);IJVs狭窄与EDSS评分和病程均无显著相关性(Z=0.20, P>0.05; Z=3.46, P<0.05)。      结论      MS患者DMVs改变与IJVs狭窄无显著相关性。
Abstract:
Objective      To study the correlation of cerebral deep medullary vein (DMV) characteristics and changes in internal jugular vein (IJV) with multiple sclerosis (MS).       Methods      Thirty recurrent remittent MS patients (MS group) and 30 age- and sex-matched controls (control group) underwent conventional magnetic resonance imaging (MRI), 3-dimensional (3-D) enhanced T2*-weighted angiography (ESWAN), and 3-D time-resolved imaging of contrast kinetics (TRICK). Changes in periventricular DMV of MS group and control group were observed on 3-D ESWAN and scored.       Results      The periventricular DMV score was  significantly lower in MS group than in control group (1.67±0.25 vs 3.00±0.00, P<0.01). The course of MS was >2.0 years in 16 patients with 1 score and 0.5- 2.0 years in 8 patients with 2 scores (P<0.01), and <0.5 year in 6 patients (P>0.05). Dilated and prolonged penetrating veins were found in 9 chronic MS lesions. IJV stenosis was observed in 5 (16.7%) MS patients and 2 (6.7%) controls, respectively (P>0.05). The IJV stenosis was not significantly correlated with the reduced DMV (P>0.05). The reduced and shortened DMV were positively correlated with the course of MS (r=-0.89, P<0.01) but negatively correlated with the expanded disability status scale (EDSS) score (r= 0.05, P>0.05). The IJV stenosis was not significantly correlated with the EDSS score and the course of MS (Z=0.20, P>0.05; Z=3.46, P<0.05).       Conclusion      Changes of periventricular DMV are not significantly correlated with IJV stenosis in MS patients.

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更新日期/Last Update: 2012-09-27