【摘要】 目的 探討青海玉樹地震傷員損傷影像學表現及其診斷價值。 方法 2010年4月15-16日，對83例玉樹地震傷員進行影像學表現分析。 結果 胸部損傷33例，四肢損傷32例，脊柱損傷22例，骨盆損傷15例，頭顱及頜面部損傷12例，腹部損傷7例，僅軟組織挫傷13例。 結論 影像學檢查結合患者臨床表現能快速、準確、有效對地震性損傷進行臨床診治。【Abstract】 Objective To observe and investigate the manifestations and diagnostic value of radiological features for the injured in Yushu earthquake. Methods From 15th to 16th April, 2010, 83 patients who were injured in Yushu Earthquake underwent CT or DR examinations. Results In 83 patients, chest injury was found in 33, limb injury was in 32, spinal injury was in 22, pelvic injury was in 15, head and maxillofacial injuries were in 12, abdominal injury was in seven,and single soft tissue injury was in 13. Conclusion Radiological examination can exactly, quickly and effectually diagnose the injuries caused by the earthquake.
【摘要】 目的 探討汶川大地震傷員頜面損傷CT表現及其診斷價值。 方法 對2008年5月12日-7月23日就診的汶川大地震頜面部傷員51例的CT資料進行回顧性研究。 結果 頜面部骨折21例，多發骨折12例。眼部外傷性改變9例，鼻面部外傷性改變38例。 結論 地震頜面部損傷發生部位主要在鼻面部。CT掃描結合臨床檢查，能對地震性頜面部外傷的診斷提供幫助。【Abstract】 Objective To observe the features and diagnostic value of CT for maxillofacial injury in Wenchuan Earthquake. Methods The clinical data and CT images of 51 patients with maxillofacial injury in Wenchuan Earthquake from 12th May to 23rd July, 2008 were retrospectively analyzed. Results There were 21 patients (41.2%) with maxillofacial fracture, 12 with multiple fracture, 9 (17.6%) with eye injury, and 38 (74.5%) with facial and nasal injury. Conclusion The facial and nasal injury is the main injury in the maxillofacial trauma caused by the earthquake. CT is helpful to diagnose this kind of injury.
【摘要】 目的 探討用視頻腦電圖和MRI診斷藥物難治性癲癇的臨床價值。 方法 收集2006年12月-2010年5月間經手術和病理證實的藥物難治性癲癇患者38例。其中，海馬硬化25例，顳葉萎縮伴腦發育不良2例，腦灰質移位及巨腦回4例，血管畸形3例，膠質瘤2例，腦內囊腫1例，外傷性癲癇1例。用視頻腦電圖監測癲癇發作期及發作間期癇樣放電的來源部位及腦電活動特點，用MRI掃描顯示癇灶區的表現特征，并與手術、病理改變對照，進行回顧性分析。 結果 視頻腦電圖對癲癇發作期的致癇灶來源定位準確率為100%（38/38），發作間期定位準確率為53%（20/38）。MRI對發作間期的致癇灶及相關病變定位診斷準確率為89%（34/38），病變定性準確率為79%（30/38）。 結論 視頻腦電圖和MRI檢查有機結合，對藥物難治性癲癇，能更有效檢出致癇灶的部位及性質，為藥物難治性癲癇患者的手術治療，提供重要信息。【Abstract】 Objective To study the clinical diagnosis value of video-electroencephalography (EEG) and MRI on pharmacal intractable epilepsy. Methods From December 2006 to May 2010, 38 cases of pharmacal intractable epilepsy were confirmed through operation and pathologic examination. Among them, there were 25 cases of hippocampal sclerosis, 2 cases of temporal lobe atrophy combined with brain dysplasia, 4 cases of heterotopic gray matter and macrogyria, 3 cases of vascular malformation, 2 cases of glioma, 1 case of cyst in brain, and 1 case of traumatic epilepsy. Video-EEG was applied to monitor the source of epileptoid discharge and the features of brain electrical activity during and between the occurrences of epilepsy. MRI was used to detect the manifestation characteristics of the epilepsy focus, and retrospective analysis was done to compare these findings with operational and pathological results. Results The accuracy rate of Video-EEG in locating the epilepsy focus was 100% (38/38) during the occurrence of epilepsy, and 53% (20/38) between the occurrences of epilepsy. The accuracy rate of MRI in diagnosing the epilepsy focus and relevant abnormalities during the occurrence of epilepsy was 89% (34/38), and 79% (30/38) in characterizing the abnormalities. Conclusion Video-EEG combined with MRI examination is effective in locating and characterizing the epilepsy focus, which can provide more useful information for the surgery in treating pharmacal intractable epilepsy.
