\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u662f\u5728\u4e00\u4e2a\u591a\u4e16\u7eaa\u524d\u7531\u5fb7\u56fd\u75c5\u7406\u5b66\u5bb6R.Virchow\u548c\u6cd5\u56fd\u751f\u7269\u5b66\u548c\u7ec4\u7ec7\u5b66\u5bb6C.P.Robin\u63d0\u51fa\uff0c\u540e\u6765\u547d\u540d\u4e3aVirchow-Robin\u95f4\u9699(Virchow-Robinspace\uff0cVRS)\uff0c\u4e5f\u6709\u79f0\u4e4b\u4e3a\u8840\u7ba1\u5468\u56f4\u6dcb\u5df4\u95f4\u9699\uff0cPVS\u5c06\u8840\u7ba1\u4e0e\u5468\u56f4\u7684\u8111\u7ec4\u7ec7\u5206\u79bb\u5f00\u6765\uff0c\u662f\u795e\u7ecf\u7cfb\u7edf\u5185\u7684\u6b63\u5e38\u89e3\u5256\u7ed3\u6784\uff0c\u5177\u6709\u4e00\u5b9a\u7684\u751f\u7406\u548c\u514d\u75ab\u529f\u80fd<\/p>\n
\u5b9a\u4e49\uff1a\u5185\u886c\u8f6f\u819c\u3001\u5145\u6ee1\u7ec4\u7ec7\u95f4\u6db2\u7684\u7ed3\u6784\uff0c\u4e0e\u7a7f\u901a\u652f\u52a8\u8109\u4f34\u884c\uff0c\u4f46\u4e0e\u86db\u7f51\u819c\u4e0b\u8154\u65e0\u76f4\u63a5\u4ea4\u901a<\/p>\n
\u7ec4\u7ec7\u5b66\uff1a\u8fc7\u53bb\u5b66\u8005\u8ba4\u4e3a\uff0cVR\u662f\u86db\u7f51\u819c\u4e0b\u8154\u4f34\u968f\u8840\u7ba1\u8fdb\u5165\u8111\u5b9e\u8d28\u7684\u5ef6\u4f38\uff0c\u4e0e\u86db\u7f51\u819c\u4e0b\u9699\u662f\u76f8\u901a\u7684\u3002\u73b0\u5728\u901a\u8fc7\u7535\u955c\u4e0e\u793a\u8e2a\u5242\u7684\u7814\u7a76\u8bc1\u660e\uff0c\u5927\u8111\u534a\u7403\u7684PVS\u4e0e\u86db\u7f51\u819c\u4e0b\u9699\u5e76\u4e0d\u76f8\u901a\uff0cPVS\u662f\u8f6f\u8111\u819c\u968f\u7740\u7a7f\u901a\u52a8\u8109\u548c\u6d41\u51fa\u9759\u8109\u8fdb\u51fa\u8111\u5b9e\u8d28\u7684\u5ef6\u7eed\u800c\u6210<\/p>\n
VR\u7684\u5916\u754c\u662f\u795e\u7ecf\u80f6\u8d28\u754c\u819c\uff0c\u5185\u754c\u662f\u8840\u7ba1\u5916\u5c42\uff0c\u968f\u7740\u8840\u7ba1\u6811\u4e00\u76f4\u5ef6\u4f38\u81f3\u624b\u7ec6\u800c\u7ba1\u6c34\u5e73\uff0c\u6700\u540e\uff0c\u80f6\u8d28\u754c\u819c\u4e0e\u800c\u7ba1\u5916\u5c42\u878d\u5408\u6210\u76f2\u7aef\u3002\u5728\u5927\u8111\u534a\u7403\uff0cPVS\u662f\u7531\u5355\u5c42\u8f6f\u819c\u6784\u6210\uff0c\u5728\u7eb9\u72b6\u4f53\u52a8\u8109\u5468\u56f4\u662f\u7531\u53cc\u5c42\u8f6f\u819c\u6784\u6210.<\/p>\n
\u53d1\u751f\u673a\u5236<\/p>\n
\u5728CNS\u4e2d\uff0c\u5b58\u5728\u7740\u72ec\u7279\u7684CSF\u548c\u7ec4\u7ec7\u95f4\u6db2\u4ea4\u6362\u5f15\u6d41\u7cfb\u7edf\u3002\u7ec4\u7ec7\u95f4\u6db2\u4e2d\u7684\u6eb6\u8d28\u548c\u6db2\u4f53\u901a\u8fc7\u6bdb\u7ec6\u8840\u7ba1\u58c1\u4ea4\u6362\uff0c\u540c\u65f6\u4e5f\u53d7\u5230\u8840-\u8111\u5c4f\u969c\uff08BBB\uff09\u7684\u9650\u5236\uff1bCSF\u4e2d\u6210\u5206\u4e0e\u7ec4\u7ec7\u95f4\u6db2\u4e2d\u7684\u7c7b\u4f3c\uff0c\u5e76\u52a8\u6001\u5730\u4e0e\u7ec4\u7ec7\u95f4\u6db2\u8fdb\u884c\u7269\u8d28\u4ea4\u6362\u3002CNS\u66fe\u88ab\u8ba4\u4e3a\u662f\u552f\u4e00\u7f3a\u4e4f\u4f20\u7edf\u6dcb\u5df4\u7cfb\u7edf\u7684\u7cfb\u7edf\uff0c\u4f46\u8fd1\u4e9b\u5e74\u6765\uff0c\u8bb8\u591a\u7814\u7a76\u53d1\u73b0\u5927\u8111\u4e2d\u5b58\u5728\u8111\u819c\u6dcb\u5df4\u7ba1\uff0c\u63ed\u793a\u4e86\u4e00\u4e2a\u65b0\u7684CSF\u5faa\u73af\u901a\u8def\u3002\u76ee\u524d\u666e\u904d\u8ba4\u4e3a\u8111\u819c\u6dcb\u5df4\u7ba1\u4f4d\u4e8e\u52a8\u8109\u3001\u9759\u8109\u7aa6\u548c\u9885\u795e\u7ecf\u65c1\uff0c\u7ec4\u7ec7\u95f4\u6db2\u6cbf\u7740\u8fd9\u4e9b\u89e3\u5256\u7ed3\u6784\u901a\u8fc7\u9885\u5e95\u7684\u5404\u79cd\u5b54\u4ece\u9885\u5185\u6d41\u51fa\u3002<\/p>\n
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\u5f71\u50cf\u8868\u73b0<\/p>\n
\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u4e5f\u88ab\u79f0\u4e3aVirchow-Robin (VR)\u95f4\u9699\uff0c\u662f\u86db\u7f51\u819c\u4e0b\u9699\u56f4\u7ed5\u8111\u5185\u8840\u7ba1\u58c1\u5f62\u6210\u7684\u95f4\u9699\uff0c \u8868\u9762\u8986\u76d6\u8f6f\u8111\u819c\u3002\u76ee\u524d\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u6269\u5927\u7684\u673a\u5236\u6709\u591a\u79cd\u7406\u8bba\u89e3\u91ca\uff0c\u4f46\u5c1a\u65e0\u5b9a\u8bba\u3002\u5178\u578b\u8868\u73b0\u53d6\u51b3\u4e8e\u60a3\u8005\u5e74\u9f84\uff1a\u5c0f\u8840\u7ba1\u5468\u56f4\u95f4\u9699\uff08<2mm)\u89c1\u4e8e\u6240\u6709\u5e74\u9f84\u7ec4\uff1b\u5e74\u9f84\u8d8a\u5927\uff0c\u8d8a\u5bb9\u6613\u51fa\u73b0\u66f4\u5927\u7684\u8840\u7ba1\u5468\u56f4\u95f4\u9699(>2mm)\u3002<\/p>\n
\u4e00\u822c\u6765\u8bf4\uff0c\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u5448\u5706\u5f62\u6216\u5375\u5706\u5f62\uff0c\u8fb9\u754c\u5149\u6ed1\u6e05\u695a\uff0c\u5185\u542b\u6db2\u4f53\uff0c\u76f4\u5f84\u901a\u5e38\u4e0d\u8d85\u8fc75mm, \u5e38\u89c1\u4e8e\u524d\u7a7f\u8d28\u4e0b1\/3\u53ca\u57fa\u5e95\u8282\u3002<\/p>\n
\u5728\u5e73\u626bCT\u548c\u6240\u6709MR\u5e8f\u5217\u4e0a\uff0c\u8840\u7ba1\u5468\u56f4\u95f4 \u9699\u7684\u5bc6\u5ea6\u548c\u4fe1\u53f7\u5f3a\u5ea6\u5747\u548c\u8111\u810a\u6db2\u4e00\u81f4\uff0c \u5728\u5f25\u6563\u52a0\u6743\u6210\u50cf\uff08DWI)\u4e0a\u65e0\u5f25\u6563\u53d7\u9650\uff0c\u589e\u5f3a\u626b\u63cf\u65e0\u5f3a\u5316\u3002<\/p>\n
\u6269\u5927\u7684\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u5e38\u89c1\u4e8e\u4e09\u4e2a\u7279\u5f81\u6027\u90e8\u4f4d\uff0c \u4ee5\u6b64\u5206\u4e3a\u4e09\u4e2a\u7c7b\u578b\uff1aI\u578b\uff1a\u6cbf\u8c46\u7eb9\u52a8\u8109\u7ecf\u524d\u7a7f\u8d28\u8fdb\u4eba\u57fa\u5e95\u8282 II\u578b\uff1a\u6cbf\u9ad3\u8d28\u52a8\u8109\u8fdb\u4eba\u5927\u8111\u51f8\u9762\u7684\u76ae\u8d28\uff0c\u5e76\u8fbe\u5230\u767d \u8d28\uff1bIII\u578b\uff1a\u4f4d\u5348\u4e2d\u8111\u3002<\/p>\n
CT\u5e38\u5e38\u80fd\u663e\u793aI\u578b\u548c\u90e8\u5206II\u578b\u8840\u7ba1\u5468\u56f4\u95f4\u9699\uff0c \u800cMRI\u80fd\u663e\u793a\u6240\u6709\u7c7b\u578b\u3002\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u7684\u975e\u5178\u578b\u8868\u73b0\u4e3aII\u578b\u8840\u7ba1\u95f4\u9699\u6269 \u5927\uff0c\u5448\u7c07\u72b6\u805a\u96c6\u5728\u4e00\u4fa7\u5927\u8111\u534a\u7403\u6216\u5176\u5185\u7684\u67d0\u4e2a\u533a\u57df\u3002\u6781\u5c11\u6570\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u53ef\u4ee5\u663e\u8457\u6269\u5927\uff0c\u4ea7 \u751f\u5360\u4f4d\u6548\u5e94\uff0c\u5448\u4e0d\u89c4\u5219\u56ca\u72b6\u7ed3\u6784\uff0c\u6700\u5e38\u89c1\u4e8eIII\u578b\u3002<\/p>\n
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\u9274\u522b\u8bca\u65ad<\/p>\n
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\u8981\u70b9<\/p>\n
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VR\u589e\u591a\u548c\u6269\u5927\u591a\u89c1\u4e8e\u8001\u5e74\u8111\u3001\u9ad8\u8840\u538b\u3001\u7cd6\u5c3f\u75c5\u3001\u75f4\u5446\u3001\u8111\u767d\u8d28\u75c5\u53d8\u3001\u8111\u79ef\u6c34\u3001\u591a\u53d1\u6027\u786c\u5316\u3001\u4e2d\u67a2\u795e\u7ecf\u9690\u7403\u83cc\u611f\u67d3\u3001\u513f\u7ae5\u8111\u53d1\u80b2\u6027\u75be\u75c5\u7b49<\/p>\n
VR\u4e0e\u5e74\u9f84\u660e\u663e\u76f8\u5173\uff0c\u63d0\u793aVR\u6269\u5927\u53ef\u80fd\u662f\u8111\u8001\u5316\u7684\u8868\u73b0\u3002\u5728\u8001\u5e74\u8111\uff0c\u8840\u7ba1\u589e\u7c97\u3001\u626d\u66f2\uff0c\u9020\u6210\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u7684\u6269\u5927;\u8111\u5b9e\u8d28\u7684\u840e\u7f29\u4e5f\u53ef\u5f15\u8d77VR\u6269\u5927<\/p>\n
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VR\u4f5c\u4e3a\u4e00\u4e2a\u9694\u5ba4\uff0c\u4e0e\u5934\u9888\u90e8\u6dcb\u5df4\u901a\u8def\u76f8\u8fde\u63a5\uff0c\u6784\u6210\u4e86\u7ec4\u7ec7\u95f4\u6db2\u7ecf\u8111\u810a\u6db2\u6392\u5165\u6dcb\u5df4\u7cfb\u7edf\u7684\u76f4\u63a5\u901a\u9053\uff0c\u4e5f\u63d0\u4f9b\u4e86\u5916\u6765\u6297\u539f\u8fdb\u5165\u8111\u3001\u7ec6\u80de\u95f4\u6db2\u548c\u8111\u810a\u6db2\u7684\u673a\u4f1a\u6216\u53ef\u80fd;PVS\u8fd8\u53ef\u80fd\u4f5c\u4e3a\u75be\u75c5\u6269\u6563\u6216\u80bf\u7624\u7ec6\u80de\u8f6c\u79fb\u7684\u4e00\u4e2a\u5e38\u89c1\u9014\u5f84<\/p>\n
VR\u5185\u9a7b\u6709\u5c0f\u80f6\u8d28\u7ec6\u80de\uff0c\u53c2\u4e0e\u5c40\u90e8\u514d\u75ab\u8c03\u8282\u4f5c\u7528\u3002\u5728\u8111\u708e\u3001\u591a\u53d1\u6027\u786c\u5316\u75c7\u3001HIV\u8111\u708e\u7b49\uff0cVR\u53ef\u51fa\u73b0\u5c40\u90e8\u6027\u514d\u75ab\u53cd\u5e94\u3002<\/p>\n
\u5178\u578b\u56fe\u50cf\u4e0e\u9274\u522b<\/p>\n<\/p>\n
67\u5c81\u7537\u6027\uff0c\u53f3\u4e0a\u80a2\u4e4f\u529b\u3002\u8f74\u4f4d\u5e73\u626bCT\u89c1\u4e00\u6269\u5927\u7684\u8840\u7ba1\u5468\u56f4\u95f4\u9699\uff0c\u76f4\u5f84\u4e3a7mm\uff0c\u5448\u692d\u5706\u5f62\uff0c\u4f4d\u4e8e\u5de6\u4fa7\u524d\u7a7f\u8d28\u4e0b1\/3 (\u9ed1\u7bad\u5934\uff09\uff0c\u5e76\u5411\u4e0b\u5ef6\u4f38\u81f3\u978d\u4e0a\u6c60\u3002\u75c5\u7076 \u5bc6\u5ea6\u4e0e\u90bb\u8fd1\u5916\u4fa7\u88c2\u6c60\u5185\u7684\u8111\u810a\u6db2\u4e00\u81f4<\/p>\n
60\u5c81\u5973\u6027\uff0c\u4e00\u8fc7\u6027\u4e0a\u80a2\u4e4f\u529b\u3002A.\u8f74\u4f4d\u5e73\u626bCT\u89c1\u4e00\u6269\u5927\u7684\u8840\u7ba1\u5468\u56f4\u95f4\u9699\uff0c\u76f4\u5f845mm,\u5448\u5706\u5f62\uff0c\u4f4d\u4e8e\u53f3\u989d\u53f6\u76ae\u8d28\u4e0b\u767d\u8d28\uff08\u9ed1\u7bad\u5934\uff09\u3002\u53cc\u4fa7\u989d\u53f6\u4fa7\u8111\u5ba4\u65c1\u767d\u8d28\u5185\u89c1\u6a21\u7cca\u4f4e\u5bc6\u5ea6\u5f71\u3002\u8be5\u75c5\u4eba\u8f74\u4f4dT1WI\uff08B )\u3001FLAIR (C )\u548cT2WI\uff08D)\u50cf\u663e\u793a\u8840\u7ba1\u5468\u56f4\u95f4\u9699\uff08\u7bad\u5934\uff09\u7684\u4fe1\u53f7\u5f3a\u5ea6\u5728\u6240\u6709\u5e8f\u5217\u4e0a\u5747\u4e0e\u8111\u810a\u6db2\u4e00\u81f4\u3002\uff08D)\u56fe\u8fd8\u663e\u793a\u4e86\u8111\u5ba4\u5468\u56f4\u6216 \u76ae\u8d28\u4e0b\u878d\u5408\u7684\u5f02\u5e38T2\u4fe1\u53f7\u7076\uff08\u9ed1\u7bad\uff09\uff0c\u4fe1\u53f7\u5f3a\u5ea6\u7a0d\u4f4e\u4e8e\u8111\u810a\u6db2\uff0c\u4e3a\u6162\u6027\u5fae\u8840\u7ba1\u7f3a\u8840\u6027\u6539\u53d8<\/p>\n
A.\u8f74\u4f4d\u5e73\u626bCT\u663e\u793a\u5728\u4e2d\u8111\u4e0e\u8111\u6865\u4ea4 \u754c\u533a\u89c1\u4e00\u5c0f\u5706\u5f62\u4f4e\u5bc6\u5ea6\u5f71\uff0c\u4e0e\u8111\u810a\u6db2\u5bc6\u5ea6\u76f8\u4f3c (\u767d\u7bad\uff09\u3002\u8f74\u4f4dT2WI\u52a0\u6743\uff08B )\u3001FLAIR ( C )\u3001 ADC\u56fe\uff08D )\u548cDWI\uff08E )\u50cf\u5747\u663e\u793a\u75c5\u7076\uff08\u7bad\uff09 \u4fe1\u53f7\u5f3a\u5ea6\u7c7b\u4f3c\u4e8e\u8111\u810a\u6db2\uff0c\u63d0\u793a\u4e3aIII\u578b\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u3002<\/p>\n
68\u5c81\u7537\u6027\u3002\u8f74\u4f4dTWI\uff08A)\u548cFLAIR (B)\u50cf\u663e\u793a\u53f3\u4fa7\u989d\u53f6\u76ae\u8d28\u4e0b\u767d\u8d28\u56a2\u6027\u7076\uff0c\u4e0e\u8111\u810a\u6db2\u4fe1\u53f7\u4e00\u81f4(\u7bad\uff09\uff0c\u5468\u56f4\u8111\u5b9e\u8d28\u4fe1\u53f7\u6b63\u5e38\uff0c\u4e3a\u5178\u578b\u7684II\u578b\u8840\u7ba1\u5468\u56f4\u95f4\u9699\u3002<\/p>\n
72\u5c81\u7537\u6027\uff0c\u610f\u8bc6\u6a21\u7cca\u3002\u8f74\u4f4d\u78c1\u5171\u632fFLAIR\u50cf \u89c1\u4e00\u5178\u578b\u7684\u6162\u6027\u8154\u9699\u6027\u6897\u6b7b\u7076\uff08\u9ed1\u7bad\uff09\uff0c\u4f4d\u4e8e\u5de6\u989d\u53f6\u8111\u5ba4 \u65c1\u767d\u8d28\u3002\u56fe\u4e2d\u53ef\u89c1\u692d\u5706\u5f62\u4f4e\u4fe1\u53f7\u7076\u5468\u56f4\u5305\u7ed5\u9ad8\u4fe1\u53f7\u5f71\uff0c \u540e\u8005\u63d0\u793a\u80f6\u8d28\u589e\u751f\u3002\u9ed1\u7bad\u5934\u6240\u793a\u4e3a\u767d\u8d28\u5fae\u8840\u7ba1\u7f3a\u8840\u6027\u6539\u53d8<\/p>\n
88\u5c81\u7537\u6027\uff0c\u4e0a\u80a2\u4e4f\u529b\u3002\u8f74\u4f4d\u78c1\u5171\u632fFLAIR( A )\u548c\u4e43\u52a0\u6743\uff08B )\u50cf\u663e\u793a\u4e86\u5178\u578b\u7684\u767d\u8d28\u5f25\u6f2b\u6027\u5fae\u8840\u7ba1\u7f3a\u8840\u6027\u6539\u53d8\u3002\u53cc\u4fa7\u76ae\u8d28\u4e0b\u53ca\u8111\u5ba4\u65c1\u767d\u8d28\u5185\u89c1\u878d\u5408\u6027\u75c5\u7076\uff0cFLAIR\u50cf\u5448\u9ad8\u4fe1\u53f7\uff0c\u5140\u52a0\u6743\u50cf\u5448\u7b49\u6216\u7a0d\u4f4e\u4fe1\u53f7<\/p>\n
42\u5c81\u5973\u6027\uff0c\u591a\u53d1\u6027\u786c\u5316\u3002\u77e2\u72b6\u4f4dFLAIR(A)\u548c\u8f74\u4f4dT2WI\uff08B)\u50cf\u663e\u793a\u80fc\u80dd\u4f53\u591a\u53d1\u5375\u5706\u5f62\u75c5\u7076\uff0c\u5782 \u76f4\u4e8e\u4fa7\u8111\u5ba4\u5206\u5e03\uff0cT2\u52a0\u6743\u53caFLAIR\u50cf\u5747\u5448\u9ad8\u4fe1\u53f7\uff0cT1WI\u5448\u4f4e\u4fe1\u53f7\uff08\u7bad\u5934\uff09\u3002C.\u8f74\u4f4d\u589e\u5f3a\u4e43\u52a0\u6743\u50cf\u663e\u793a\u75c5\u7076 \u5448\u73af\u5f62\u5f3a\u5316\uff0c\u63d0\u793a\u4e3a\u6d3b\u8dc3\u671f\u8131\u9ad3\u9798\u75c5\u53d8\uff08\u767d\u7bad\u5934\uff09<\/p>\n
\u6765\u6e90\uff1a\u6885\u65af\u533b\u5b66\u7efc\u5408\u6574\u7406<\/p>\n","protected":false},"excerpt":{"rendered":"
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