创伤性单侧急性硬膜下血肿患者大脑脚池、环池受压程度与预后的关系  

Relationship Between the Compression Degree of Cerebral Crural Cistern and Ambient Cisternand Prognosis in Patients with Traumatic Unilateral Acute Subdural Hematoma

作　　者：黄俊强 杨立坚 刘志雄[2] 

机构地区：[1]长沙市第一医院神经外科,湖南长沙410005 [2]中南大学湘雅医院神经外科,湖南长沙410008

出　　处：《医学临床研究》2013年第2期228-230,共3页Journal of Clinical Research

基　　金：湖南省卫生厅重点资助项目（编号2007003）

摘　　要：【目的】探讨创伤性单侧急性硬膜下血肿患者双侧大脑脚池、环池受压程度及与预后的关系。【方法】对本院50例创伤性单侧急性硬膜下血肿患者进行回顾性研究，测量患者双侧大脑脚池、环池受压程度，随访患者伤后6个月GOS评分，运用SPSS17．0统计软件进行分析。【结果】血肿同侧大脑脚池、对侧大脑脚池、同侧环池、对侧环池这四个中脑周围池受压的程度均与患者预后呈负相关（P〈o．05），spearman相关系数为分别为-0．869，-0．689、-0．577、-0．605。【结论】创伤性单侧急性硬膜下血肿患者中脑周围四个脑池受压程度与患者预后有明显相关关系，对于患者预后的评价有重大意义。[Objective]To explore the relationship between the compression aegree oi unatem terns and ambient cisterns and prognosis in patients with traumatic unilateral acute subduraI hematoma. [Methods] A total of 50 patients with traumatic unilateral acute subdural hematoma in our hospital were ana- lyzed retrospectively. The compression degree of bilateral crura[ cisterns and ambient cisterns of patients were measured, GOS of patients during follow up was scored 6 months after injury. All data was analyzed by using SPSS 17.0 software. [Results]The compression degree of ipsilateral and contralateral crural cisterns and ipsi- lateral and contralateral ambient cisterns were negatively correlated with the prognosis of patients（ /9 d0.05）. The spearman correlation coefficient was --0. 869, --0. 689, --0. 577 and --0. 605, respectively. [Conclu- sion]The compression degree of four cisterns of patients with traumatic unilateral acute subdural hematoma is obviously correlated with the prognosis, and plays an important role in the evaluation of prognosis.

关 键 词：血肿 硬膜下 预后 

分 类 号：R651.155[医药卫生—外科学]