颅脑损伤CT计分与手术指征的相关研究  

The Comparative Study between CT Score and Operative Indication for Cranial Injury

作　　者：廖耿辉[1] 陈宏新[1] 林源泉[1] 娄明武[1] 

机构地区：[1]广东省深圳市龙岗中心医院影像科,518116

出　　处：《中国医学影像学杂志》2005年第3期200-202,共3页Chinese Journal of Medical Imaging

摘　　要：目的:探讨颅脑损伤CT计分与手术指征的关系。材料和方法:对52 0例颅脑损伤患者外伤后2 4h内行头颅CT扫描和并行CT计分,得到CT图像计分。分保守治疗组( 31 2例)和手术组( 2 0 8例)进行预后对照分析。结果:按CT计分将颅脑损伤分为轻型( <5分)占2 2 .7% ( 1 1 8例) ,中型( 5～1 0分)占35.6 % ( 1 85例) ,重型( >1 0分)占4 1 .7% ( 2 1 7例)。中型手术组预后的重残死亡率( 2 1 .0 % )远低于保守组( 4 4.2 % ) (P <0 .0 5) ;轻、重型无显著差异。结论:颅脑损伤CT计分是较准确可靠的手术指征之一。Purpose: To explore the correlation between CT score and operative indication for cranial injury.Materials and Methods: 520 patients with cranial injury were studied by CT scan after trauma within 24h,and divided into the conservative group(n=312) and operative group(n=208)according to the CT score the prognosis of two groups were analysed statistically.Results: According to the CT score the cranial injury were divided into mild injury(<5scores),middle injury(5～10scores)and severe injury(>10scores).There was significant statistically difference (P< 0.05) of different prognosis between the operative group and the conservative group of the middle injury,but not significant statistically difference of that both mild injury and severe injury.Conclusions: CT score is more exact,reliable one of operative indication for cranial injury.

关 键 词：手术指征 相关研究 头颅CT扫描 颅脑损伤患者 CT图像计分 对照分析 24h 外伤后 治疗组 死亡率 预后 保守 中型 重型 

分 类 号：R395.6[哲学宗教—心理学] R743.33[医药卫生—医学心理学]