Analysis of short-term and long-term effect of microvascular decompression on trigeminal neuralgia / 中国医师进修杂志

Objective To observe the short-term and long-term effect of microvascular decompression in patients with trigeminal neuralgia (TN).Methods The chnical data of 180 patients with TN treated with microvascular decompression were retrospectively analyzed.The pain improvement of patients in 2 years was observed,combined with age and course of disease,as well as the type of pressure vessels,whether obvious impression and so on,to analysis the recurrence factors of TN.Results All patients were found with vascular compression,including 93 cases with apparent pressure pressing mark,85 cases with arterial compression,15 cases with venous compression,and 8 cases with arteriovenous compression,among of them 74 patients with artery compression had pressure pressing mark,and 11 patients with vascular compression had pressure pressing mark,all of 8 patients with arteriovenous compression had pressure pressing mark.One week postoperatively,the patients with vascular compression gained significant improvement,of which 79 cases achieved optimal,6 cases achieved good;9 patients with vascular compression achieved optimal,6 cases achieved good,and 5 patients with arteriovenous compression achieved optimal,3 cases achieved good.Follow-up for 1 year after surgery,artery compression recurred in 5 cases,of which 3 cases of part recurrence,2 cases of recurrence completely ;vascular compression recurred in 6 cases;arteriovenous compression recurred in 2 cases.Univariate analysis showed that the vascular compression type,bascular compression notch and duration were the risk factors of postoperative recurrence (P ＜ 0.01).Multiple analysis showed that the vascular compression type,bascular compression degree and duration were the independent risk factors of postoperative recurrence (P ＜ 0.05).Conclusions TN patients treatd with microvascular decompression have effective improvement.History of diease,vascular compression type and compression degree are the important influence factors of postoperative recurrence.

The study on the early diagnosis of hypoxic ischemic encephalopathy (HIE) in the newborns by fuzzy BP neural networks / 生物医学工程学杂志

This paper is aimed to study a method and feasibility of early diagnostic system using hypoxic ischemic encephalopathy (HIE) in the newborns. Fifteen non-invasive indicators with high sensitivity and specificity were selected for the early diagnosis of HIE on the basis of related researches from the literature and the researches in our laboratory. The diagnostic test was done with 140 cases with the HIE, using the fussy BP neural network experiment system. The initial results showed that the accuracy rate was 100% for the training set and 95% for the testing set, and the error rate was 5%. The data suggested that the fuzzy back-propagation neural networks, with the clinical comprehensive indicators, exhibited a high accuracy for the early diagnosis of HIE. This method provides an objective and convenient new way for the early clinical diagnosis of the HIE.

Application of pulse-coupled neural network combined with genetic algorithm on MR images of hypoxic-ischemic encephalopathy / 生物医学工程学杂志

This paper is to provide a basis for the establishment of an early diagnostic system for hypoxic-ischemic encephalopathy (HIE) by performing segmentation and feature extraction of lesions on the MR images of neonatal babies with HIE. The segmentation on MR images of HIE based on the genetic algorithm (GA) combined with a pulse-coupled neural network (PCNN) were carried out. There were better segmentation results by using PCNN segmentation based on GA than PCNN segmentation with fixed parameters. The data suggested that a PCNN based on GA could provide effective assistance for diagnosis and research.