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頁籤選單縮合
題 名 | 正常中國人之豆核大小=Size of Lentiform Nuclei in Normal Chinese |
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作 者 | 李超群; 楊雅惠; 張寶源; 龔敏凱; 陳震宇; 林欣榮; 魏妙俶; 賴惠文; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 23:5 1998.10[民87.10] |
頁 次 | 頁159-163 |
分類號 | 416.291 |
關鍵詞 | 電腦斷層; 治療計劃; 腦; 解剖; Computed tomography; CT; Treatment planning; Brain; Anatomy; CT planning; |
語 文 | 中文(Chinese) |
中文摘要 | 豆核大小在腦神經移植及蒼白球截除術(pallidotomy)之立體定位相當重要,同時也是疾病判斷的一種標準。我們查詢近二十年來Medline醫學資料庫中只有國外三篇測量正常人之大小(1-3),且無中國人資料。因此,我們收集100位各年齡層及性別均勻分布之正常人頭部CT,於前後聯合(AC-PC)之平面測量豆核之橫徑及長徑。同時,測量第三腦室橫徑(TVW)及AC-PC至豆核內緣距離。其平均值如下:左橫徑(LLNW)18.23mm、左長徑(LLNL)34.61mm、右橫徑(RLNW)17.99mm、右長徑(RLNL)34.47mm、TVW5.57mm、中線左豆核距(MLLN)11.34mm、中線右豆核距(MRLN)11.31mm,經t檢定(ttest)發現男女在TVW、MLLN及MRLN在統計上有顯著差異,但若扣除TVW差異,則MLLN及MRLN無顯著差異,此與LLNW與RLNW在統計上無男女差異一致。而TVW之差異,可能來自年齡,因本統計之男性平均年齡為47歲而女性為42歲。統計發現MRLN、MLLN及TVW與年齡成正關係(p<0.02),LLNW及RLNW呈負關係(p<0.02),而豆核之長徑則與年齡無統計學上關係。又MRLN及MLLN與TVW成正關係(p<0.02),而LLNW及RLNW呈負關係(p<0.02)。從這個研究中我們可以發現,正常中國人之豆核可隨年齡慢慢萎縮,且第三腦室漸寬,以致前後聯合連線至豆核最內緣距離漸增。這個發現在蒼白球立體定位截除術相當重要,因為過去使用Talairach座標系統並無修正因年齡或個體之差別,更何況病患有基底核之病變,所以手術效用不見掌握,且容易發生併發症。因此,本研究支持直接利用解剖影像,如磁振造影或立體定位手術的一些理論基礎。 |
英文摘要 | The size of lentiform nuclei is not only very important for stereotactic neuronal transplantation and pallidotomy, but is also one of the criteria of disease diagnosis. We reported on 100 patients evenly distributed by age (about 10 patients in each 10-year range) with equal sex distribution. All had a normal brain CT. We calculated the maximal length and width of lentiform nuclei at the level of the anterior commissure-posterior commissure AC-PC) line. In addition, the width of the third ventricle and the distance from the midline to the innermost point of the lentiform unclei were also measured. The mean values were LLNW (left lentiform nuclear width) 18.23mm, LLNL (left lentiform nuclear length) 34.61mm, RLNW (right lentiform unclear width) 34.47mm, RLNL (right lentiform unclear length, TVW (third ventricular width) 5.57mm, MLLN (midline to left lentiform unclear inner margin) 11.34mm, and MRLN (midline to right lentiform nuclear inner margin) 11.31mm, A t-test showed significant differences between men and women in TVW, MLLN and MRLN. If MLLN and MRLN minus TVW, there were no significant differences between sexes. There were no significant sex differences between MRLN, MLLN and TVW. We think the difference in TVW between sexes may be due to the age difference, because the average age of the men was 47 and the women 42. MRLN, MLLN and TVW had a positive correlation with age (p<0.02), while LLNW and RLNW had a negative correlation (p<0.02). The length of the lentiform nuclei had no significant correlation with age. The MRLN and MLLN had a positive correlation with TVW (p<0.02), while the LLNW and RLNW had negative correlations. In healthy Chinese, we found the lentiform nuclei shrink with age, and the width of the third ventricle and the distance between the AC-PC line to the inner lentiform nuclear border grow with age. These findings are important for stereotactic pallidotomy, because in the past, the Talairach scalar system was used without any adjustment for the patient's age or individual differences. In addition, there may be changes in patients with basal ganglia disease. Therefore, surgical results may vary and result in complications if normal variations are not considered. For this reason, we recommended using an anatomical image, such as MRI, to determine a stereotactic target point, in addition to the Talairach frame only. |
本系統中英文摘要資訊取自各篇刊載內容。