等密度硬膜下血肿的CT诊断  

CT diagnosis of isodense subdural hematoma

作　　者：李海锋[1] 赵守清[1] 

机构地区：[1]广东省佛山市南海区丹灶医院放射科,广东佛山528223

出　　处：《吉林医学》2012年第19期4089-4090,共2页Jilin Medical Journal

摘　　要：目的:探讨等密度硬膜下血肿的CT影像特点,提高对等密度硬膜下血肿的CT诊断。方法:回顾分析经临床证实的56例等密度硬膜下血肿的CT表现。结果:血肿均位于幕上,额颞顶部39例,额顶部11例,额部6例,所有病例可见侧脑室不同程度变窄、移位,灰白质交界线内移,2例双侧额颞顶硬膜下血肿作增强扫描,可见强化皮质血管内移及血管膜影。结论:CT扫描能够比较准确的判断等密度慢性硬膜下血肿位置、大小、范围,对指导临床治疗有重要的价值。Objective To explore the CT imaging features of isodense subdural hematoma and improve isodense subdaral hematoma di- agnosis by CT. Method CT manifestation characteristics of 56 cases with isedense subdural hematoma confirmed by clinic were retrespec- tively analyzed. Results All hematoma were supratentorlal ,the frentotemperal in 39 cases, frontal and parietal in 11 eases ,frontal ministry in 6 cases, all eases of lateral ventricle narrowed, visible different level shift, gray matter junction line shift,2 eases of bilateral fronto -tem- poro- parietal subdural hematoma as enhanced scanning, visible enhanced cortical intravascular shift and vascular mem- brane. Conclusion CT scans can accurately determine the location, size and scope of isedense chronic subdural hematoma,which is of great importance to guide the clinical treatment.

关 键 词：硬膜下血肿 断层摄影术 CT 

分 类 号：R651.15[医药卫生—外科学]