The Value Of Diffusion Tensor Tractography To Early Used In Hypertensive Intracerebral Hemorrhage In Basal Ganglia

ObjectiveThe study is to reconstruct a3D image of bilateral CST by Diffusion Tensor Tractography, Display the damage of nerve fiber bundles after hypertensive intracerebral hemorrhage in basal ganglia.By analyzing the relationship between the different degrees of damage and the recovery of the forward limb muscle strength.Discussion the value of DTT technology in hypertensive intracerebral hemorrhage in basal ganglia.MethodsStatistics25cases of unilateral conservative treatment of hypertensive cerebral hemorrhage in basal ganglia, At the time of admission, discharge and discharge three months in three different time periods to assess the scale.According to the CST injury classification will be divided into four groups: CST1level; CST2level; CST3level; CST4level. Assessment indicators are: strength, modified Rankin score and FMA score.The results using SPSS19.0software Multiple pairwise comparison of the mean with q test,P<0.05was a significant difference in index.Resultsmyodynamia According to the classification CST injury, bleeding in25patients with contralateral limb muscle strength of the statistical analysis, comparison between group P<0.05, has significant difference. When evaluating the same classification patients with three times, with the previous results to some extent,lower limbs recover better than upper limbs. Results found that CST injury classification and limb dysfunction into positive correlation. A lower CST injury classification of patients,the myodynamia forward restore result is more ideal.namely CST1>CST2>CST3>CST4. And CST1and CST2patients, the myodynamia basically returned to normal after three months, CST4level of patients, prognosis is poorer.Rankin scoreThe same classification of patients in three different periods in Rankin score, its every score will have different from the previous, the highest score on admission,three months later after out of hospital,the Score than previous all fell. Rank test four sets of data. In statistical analysis no significant difference (P>0.05) between the two groups CST1and CST2,. And other groups to the comparison between P<0.05, statistically significant.Therefore CST3and CST4patients, due to the forwards score higher than CST1and CST2patients, the results of limb function recovery is lower than the CST1andCST2.FMA scoreBleeding contralateral limb motor function FMA score, Compared with the contralateral, the total score is100points. The results showed that every group of patients three different periods FMA score gradually increased,three months later CST1-2levels of patients with FMA ratings are basic to restore full marks, CST4level, compared with the other three groups, the lowest score, and compare between groups, their p<0.05,has the obvious difference. The forward movement function score, CST1>CST2>CST3>CST4.ConclusionsEarly Diffusion Tensor Tractography can understand the hematoma damage of CST and accurately assessment of the patient forward limb function recovery.Long-term recovery of limb function in different grading CST with highly consistent with CST classification results.Provide a reliable image basis for evaluating the prognosis of patients, and this check is noninvasive, inexpensive,has good social and economic benefits.