脑星形细胞瘤瘤周水肿的ctp与dti的研究

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1、∥：j：]目录中文摘要⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯oeoo⋯⋯⋯⋯⋯⋯⋯⋯⋯1英文摘要⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯00o0oo·000⋯⋯0o0o0⋯4英文缩写⋯⋯⋯OO00⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯8研究论文脑星形细胞瘤瘤周水肿的CTP及DTI研究引言···⋯⋯···ooeoeoo······⋯···············⋯···OOO⋯⋯······⋯······10弓I吾“。”””‘“”。”·“‘”。“·”·”·”·”·一·”·”··”·”“。”····10第一部分高、低级别脑星形

2、细胞瘤瘤周水肿的CTP研究前言⋯0Ooo·ooo⋯⋯⋯OOO⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯···12日Ⅱ舌”‘““””‘”一””．．””””“”””．．””””“·12材料与方法⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯OOO00⋯12结果··············································································14附图···················································-·········

3、·················15附表⋯⋯⋯···⋯⋯⋯⋯⋯⋯⋯OOOOO00·0⋯⋯⋯⋯⋯···⋯······18讨论····-·········································································19参考文献⋯．．⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯·23第二部分高、低级别脑星形细胞瘤瘤周水肿区DTI研究．前言⋯⋯⋯···⋯···⋯⋯···⋯⋯·········⋯⋯···⋯⋯⋯⋯·····-⋯⋯···25刖看”“”””””

4、””””“”””””””””””“一”””“””””“”””“”25材料与方法⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯25结果··············································································27附图··················································-···························28附表··············-··············

5、·····················-···························3l讨论··············································································32参考文献⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯35第三部分CTP脑星形细胞瘤术后水肿与复发瘤周水肿的鉴别前言⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯00oOooOo6oooeeOO0⋯⋯⋯37刚看”””””“””””“””””“””“””””””‘

6、”“”“·37材料与方法⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯37结果⋯⋯⋯···⋯⋯⋯⋯···O0O00B000OeOOOOOOOOOO⋯⋯⋯39附图⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯OOOOOO⋯⋯⋯40附表⋯⋯⋯⋯00000⋯oo0o0o0oo⋯OOoOoo⋯⋯⋯43讨论⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯O00000QO00000⋯⋯⋯44参考文献⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯47结论⋯···⋯⋯⋯⋯⋯···⋯⋯⋯⋯···⋯⋯⋯···⋯⋯⋯⋯⋯⋯⋯⋯⋯．．．⋯49综述灌注成像对脑高

7、级别星形细胞瘤瘤周水肿的相关研究⋯⋯⋯⋯50致谢⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯···⋯⋯⋯⋯⋯⋯⋯···⋯．．．．．．⋯⋯．．．⋯58个人简历⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯59中文摘要脑星形细胞瘤瘤周水肿的CTP及DTI研究摘要第一部分高、低级别脑星形细胞瘤瘤周水肿的CTP研究目的：观察高、低级别脑星形细胞瘤瘤周水肿区(PTBE)CT灌注成像(CTP)参数变化的差异，探讨PTBE灌注参数区分高、低级别星形细胞瘤的价值。方法：回顾性分析经手术及病理证实的脑星形细胞瘤患者30例，包括低级别星形细胞瘤(

8、WHO分级，I～II级)lO例、高级别星形细胞瘤(WHO分级，III～Ⅳ级)20例。术前均行CT平扫、增强及CTP检查，测量强化区近侧lcm处的水肿区CT灌注参数(包括脑血流量(CBF)、脑血容量(CBV)、平均通过时间(M耵)及脑血管表面通透性(PS)值)。应用SPSSl7．0统计软件包，采用独立样本t检验比较脑高级别星形细胞瘤与低级别星形细胞瘤PTBECT灌注参数值。