颅脑CT在脑出血诊断中的价值分析  

Analysis of the Value of Cranial CT in the Diagnosis of Cerebral Hemorrhage

作　　者：尚宏元 王文斌 仉雅颂 杨春林[1] SHANG Hongyuan;WANG Wenbin;ZHANG Yasong;YANG Chunlin(Department of Imaging and Radiology,Beijing Anding Hospital of Capital Medical University,Beijing 100088,China)

机构地区：[1]首都医科大学附属北京安定医院影像放射科,北京100088

出　　处：《系统医学》2024年第12期65-67,共3页Systems Medicine

摘　　要：目的 分析颅脑CT诊断脑出血的临床效果与价值。方法 非随机选取2020年1月—2022年12月首都医科大学附属北京安定医院接诊的120例疑似脑出血患者作为研究对象,均通过颅脑CT检查,分析颅脑CT对脑出血疾病的诊断效能,及颅脑CT对不同位置脑出血的诊断符合率。结果 颅脑CT诊断脑出血疾病的灵敏度为98.33%,准确性为98.33%,特异度为98.33%,kappa=0.967。60例脑出血患者经手术诊断,15例为脑叶出血,10例为丘脑出血,16例为基底核出血,8例为小脑半球出血,11例为脑干出血。颅脑CT对脑叶、丘脑、小脑半球、脑干出血、基底核出血的诊断总符合率为96.67%(58/60)。结论 临床可采用颅脑CT诊断脑出血疾病,能够较准确地判断出血位置。Objective To analyze the clinical effect and value of cranial CT in the diagnosis of cerebral hemorrhage.Methods From January 2020 to December 2022,120 patients with suspected cerebral hemorrhage admitted to Beijing Anding Hospital Affiliated to Capital Medical University were non-randomly selected as the research objects.All of them were examined by craniocerebral CT to analyze the diagnostic efficacy of craniocerebral CT on cerebral hemorrhage disease and the diagnostic coincidence rate of craniocerebral CT on cerebral hemorrhage in different locations.Results The sensitivity of craniocerebral CT in the diagnosis of cerebral hemorrhage was 98.33%,the accuracy was 98.33%,the specificity was 98.33%,and kappa=0.967.Sixty patients with cerebral hemorrhage were diagnosed by surgery,including 15 cases of lobar hemorrhage,10 cases of thalamic hemorrhage,16 cases of basal ganglia hemorrhage,8 cases of cerebellar hemisphere hemorrhage and 11 cases of brainstem hemorrhage.The total coincidence rate of craniocerebral CT in the diagnosis of cerebral lobe,thalamus,cerebellar hemisphere,brainstem hemorrhage and basal nucleus hemorrhage was 96.67%(58/60).Conclusion Cranial CT can be used to diagnose cerebral hemorrhage disease,and can determine the location of hemorrhage more accurately.

关 键 词：颅脑CT 脑出血 诊断 出血部位 

分 类 号：R816[医药卫生—放射医学]