CT三维重建在高血压脑出血微创引流手术中的临床应用  

Clinical Application of CT 3-Dimensional Reconstruction in Minimally Invasive Drainage Surgery for Hypertensive Intracerebral Hemorrhage

作　　者：赵会[1] 马志东[1] 孙景志[1] ZHAO Hui;MA Zhidong;SUN Jingzhi(Department of CT,Songyuan Central Hospital,Songyuan 138000,China)

机构地区：[1]吉林省松原市中心医院CT科,吉林松原138000

出　　处：《中国伤残医学》2025年第7期42-45,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：2022年度松原市科技发展计划(kj2022006)。

摘　　要：目的:观察在高血压脑出血(HICH)患者微创引流手术中应用CT三维重建的效果。方法:选取2022年10月—2024年1月松原市中心医院收治的100例高血压脑出血患者为研究对象,按随机数字表法将其分为研究组和对照组,各50例。两组均进行微创引流手术,研究组实施CT三维重建,对照组实施磁共振成像(MRI)。对比两组临床治疗指标、血压指标、神经功能。结果:研究组首次下床时间与治疗时间均短于对照组,差异均有统计学意义(P<0.05)。术后2周,两组舒张压、收缩压均低于术前,且研究组均低于对照组,差异均有统计学意义(P<0.05)。术后2周,两组神经功能缺损量表中各个维度评分均高于术前,且对照组均高于研究组,差异均有统计学意义(P<0.05)。结论:与MRI相比,CT三维重建技术应用于HICH患者微创引流手术中,可提高临床效果,有效改善患者血压及神经功能。Objective:To observe the effect of CT 3-Dimensional reconstruction in patients with hypertensive intracerebral hemorrhage(HICH)during minimally invasive drainage surgery.Methods:A total of 100 patients with hypertensive intracerebral hemorrhage admitted to Songyuan Central Hospital from October 2022 to January 2024 were selected as the study objects,and were divided into a study group and a control group by random number table method,with 50 cases in each group.Both groups underwent minimally invasive drainage surgery,the study group underwent CT 3-Dimensional reconstruction,and the control group underwent magnetic resonance imaging(MRI).The clinical therapeutic indexes,blood pressure indexes and nerve function of the two groups were compared.Results:The first time of getting out of bed and the treatment time in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).At 2 weeks after surgery,diastolic blood pressure and systolic blood pressure in both groups were lower than those before surgery,and the study group was lower than the control group,the differences were statistically significant(P<0.05).Two weeks after surgery,the scores of all dimensions in the Neurofunctional Deficit Scale in both groups were higher than those before surgery,and the control group were higher than the study group,with statistical significance(P<0.05).Conclusion:Compared with MRI,CT 3-Dimensional reconstruction technique can improve the clinical effect,blood pressure and nerve function in patients with HICH.

关 键 词：高血压脑出血 微创引流手术 CT三维重建 血压水平 

分 类 号：R743[医药卫生—神经病学与精神病学]