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病灶

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First of all, there seems to be two cerebellar lesions, and only the larger one was resected.

首先,有两个病灶而只切除了较大的一个病灶

Of the other 16 patients with ALS whose upper motor neurone signs were not so manifest (cases 6-21), high signal was seen in the corticospinal tract on T2-weighted images was seen in 11 (cases 6-12, 16-18 and 21); five (cases 6, 7, 11, 12 and 16) of these also showed high signal on the PD-weighted images.

另外16例ALS患者(病例6~21)上运动神经元症状体征不明显,在T2像上有11例可见皮质脊髓束高信号病灶(病例6~12、16~18、21);在PdWI像上有5例也可见高信号病灶(病例6、7、11、12、16)。

In the present study, high signal in the corticospinal tract on T2-(16 of 21) and PD-(10 of 21) weighted images and low signal in the motor cortex on T2 weighted images (12 of 21) were seen frequently in patients with ALS.

在此研究中,ALS患者在T2像上、PdWI像上于脑部皮质脊髓束走行区常可见高信号病灶,在T2像上于运动皮质区常可见低信号病灶

Results The negative correlations were found on the Glasgow Outcome Scoreto the items such as conscious state at admission,Glasgow Coma Score,psychiatric symptoms,hemiplegia,Babinski sign,abnomal degree of Electroencephalogram,focal lesions found by neuro-image investigation and mean peak flow velocityand pulsatility indexof basilar artery and vertebral arteries by transcranial Doppler ultrasonography investigation;The non-correlation was found on the Glasgow Outcome Score to theitems such as headache,febrile,epilepˉsia style,the involvement of cranial nerve,dystaxia,neck stiffness,Cerebrospinal fluid investigation and blood serum enzymology.

结果 入院时的意识状态、GCS、精神症状、偏瘫和/或偏身感觉障碍、巴彬斯基征以及脑电图异常程度、影像学所见的病灶范围、基底动脉和椎动脉的平均峰流速、脉动指数和Glasgow预后评分呈负相关;头痛、发热、癫痫类型、颅神经受累情况、共济运动、脑膜刺激征、脑脊液检查(含压力、蛋白定量、细胞数、HSV-PCR)以及血清酶学的变化和Glasgow预后评分之间无相关性。结论入院时的意识状态、GCS、精神症状、局灶性神经系统体征以及脑电图异常程度、影像学所见的病灶范围、后循环的血管痉挛程度和血流阻力等是影响病脑预后的主要因素。

Results The negative correlations were found on the Glasgow Outcome Scoreto the items such as conscious state at admission,Glasgow Coma Score,psychiatric symptoms,hemiplegia,Babinski sign,abnomal degree of Electroencephalogram,focal lesions found by neuro-image investigation and mean peak flow velocityand pulsatility indexof basilar artery and vertebral arteries by transcranial Doppler ultrasonography investigation;The non-correlation was found on the Glasgow Outcome Score to theitems such as headache,febrile,epilepˉsia style,the involvement of cranial nerve,dystaxia,neck stiffness,Cerebrospinal fluid investigation and blood serum enzymology.

结果 入院时的意识状态、GCS、精神症状、偏瘫和/或偏身感觉障碍、巴彬斯基征以及脑电图异常程度、影像学所见的病灶范围、基底动脉和椎动脉的平均峰流速、脉动指数与Glasgow预后评分呈负相关;头痛、发热、癫痫类型、颅神经受累情况、共济运动、脑膜刺激征、脑脊液检查(含压力、蛋白定量、细胞数、HSV-PCR)以及血清酶学的变化与Glasgow预后评分之间无相关性。结论入院时的意识状态、GCS、精神症状、局灶性神经系统体征以及脑电图异常程度、影像学所见的病灶范围、后循环的血管痉挛程度和血流阻力等是影响病脑预后的主要因素。

Results MRI features of intracranial lymphoma were as follows:(1) Single or multiple lesions,most in supratentorial site.(2) Round or irregular in shape,hypointensity on T1WI and isointensity or hyper-intensity on T2WI,with homogenous signal.(3) Edema around the lesion,with mild space-occupying effect.(4) Markedly enhanced.(5) Disseminated via leptomeninges and/or via ventricular ependyma.(6) Sensitive to chemotherapy and radiotherapy.(7) Changeable in size and shape.

结果 病灶单发或多发,以幕上分布为主;圆形或不规则形,T1WI呈低信号,T2WI呈等或高信号,信号多均匀;瘤周水肿及占位效应多较轻;增强扫描病灶均明显强化;可侵及软脑膜和/或室管膜并沿之播散;对放、化疗敏感;形态、大小可变化。

The combination of 123 I-Iomazenil brain receptor SPECT and MRI has a high sensitivity for detecting epileptogenic area.

123I-Iomazenil SPECT脑受体显像是癫痫病灶定位的有效方法,与MRI配合,能提高病灶检出率。

Pathological diagnoses were obtained from bodkin puncture biopsy or operation exairesis. Masses were divided into 2 groups according to the diameters (≥2 cm and 2 cm). Diagnostic results were compared between single routine ultrasound and routine ultrasound combined with contrast-enhanced ultrasonography.

共112个病灶行常规超声及超声造影检查,经粗针穿刺组织活检和/或手术切除病灶获取组织病理学诊断;按肿块平均直径≥2cm和<2cm分为两组,分别比较单纯常规超声检查与常规超声联合超声造影的诊断符合率。

Results:(1) CR 0%,PR 35.4%,MR 52.1%,effective rate 35.4%.(2) 40 cases show obvious focus fibrosis at 2nd stage operation.Postoperative pathological analysis conformed a widespread inflammatory cell infiltration and fibroplastic proliferation.

结果:①CR0%,PR35.4%,MR52.1%,有效率35.4%;②40例行2期手术,术中见病灶周围明显纤维化,术后病理证实病灶周围炎性细胞浸润和纤维组织增生。

Histological confirmation and follow-up confirm that there were 16 cases with primary gastric cancer, 3 cases with local anastomotic recurrence, 3 cases with no local anastomotic recurrence, 4 cases with gastricism.

PET图像发现病灶19例,PET-CT图像发现病灶20例,病理结果及临床随访结果证实原发性胃癌16例,胃癌术后吻合口复发3例,胃癌术后改变3例,胃炎4例。

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