老年中重度颅脑损伤患者进行CT检查的影像学特点与其预后的相关性研究  

Relevant research of imaging feature of CT examination for elder patients with moderately severe craniocerebral injury

作　　者：程敏[1] 

机构地区：[1]江苏省如皋市人民医院,江苏如皋226500

出　　处：《当代医药论丛》2017年第23期13-15,共3页

摘　　要：目的 :探讨老年中重度颅脑损伤患者进行CT检查的影像学特点与其预后的相关性。方法 :将2015年7月至2017年3月江苏省如皋市人民医院收治的37例老年中重度颅脑损伤患者为研究对象。为本组患者采用飞利浦16排螺旋CT机进行CT检查,采用脑实质内微传感器法对其进行颅内压检测,并评定其Rotterdam CT评分、基底池受压、中线移位及脑室受压的情况,进而观察其各项指标与其预后的相关性。结果 :本组患者Rotterdam CT的评分、基底池受压、中线移位、脑室受压的严重程度与其颅内压均呈正相关(P<0.05)。本组患者Rotterdam CT的评分、基底池受压、中线移位、脑室受压的严重程度及颅内压均与其预后呈负相关(P<0.05)。结论:对老年中重度颅脑损伤患者进行CT检查可准确预测其预后。Objective： To investigate the imaging feature of CT examination for elder patients with moderately severe craniocerebral injury. Methods： Thirty-seven elderly patients diagnosed as moderately severe craniocerebral injury in our hospital from July 2015 to March 2017 were enrolled in this study.Scan the patients head with Philips 16 multislice spiral CT and measure ICP utilizing the intraparenchymal approach with a Micro Sensor. The Rotterdam CT score, basilar cistern pressure, midline shift and ventricle pressure were assessed, then observe the correlation of indicators and prognosis of the patients. Results： There is a positive correlation between intracranial pressure and the Rotterdam CT score, basilar cistern pressure, midline shift and ventricle pressure（P 〈0.05）. There is a negative correlation between prognosis and the Rotterdam CT score, basilar cistern pressure, midline shift and ventricle pressure（P 〈0.05）. Conclusion： The prognosis of elderly patients with moderate and severe craniocerebral injury diagnosed by CT imaging analysis and intracranial pressure monitoring is accurate.

关 键 词：老年中重度颅脑损伤 CT影像 预后 相关性 

分 类 号：R651.15[医药卫生—外科学]