摘要
目的探讨高血压脑出血血肿微创清除术后CT表现预测疗效的价值及指征。方法分析14例高血压脑出血患者颅内血肿微创清除术前后的临床及CT资料,探讨与预后情况密切相关的术后短期CT影像学征象。结果14例患者术后3日内复查CT,均显示了不同程度的血肿减少、占位效应缓解、中线结构回复及脑内出现气体等征象。治疗后基本治愈3例、显著进步4例、进步5例、无变化2例,残存血量、血肿清除率与手术预后有回归关系,中线结构回复程度、血肿部位术后气体量与预后无明显回归关系。结论高血压脑出血颅内血肿微创清除术后短期复查CT可以了解血肿清除率、中线结构回复程度及其它相关改变;从术后CT表现推测预后状况必须紧密结合临床资料进行个体化的辨证分析,其中,残存血量、血肿清除率对预测近期疗效较有价值。
Objective To investigate the value of short-term CT-reexamination in predicting the efficacy of hypertensive intracerebral hemorrhage（HICH） treated with minimally invasive surgery. Methods The authors retrospectively analyzed the clinical information and CT findings of 14 HICH patients treated with minimally invasive surgery, and surveyed the correlation between short-term CT signs and prognosis. Results 14 cases reexaminated with CT in 3 days after surgery showed different degrees of reduction on hematoma, remission of space occupying effect and reversion of the midline structure. Gases were found in 11 cases. After surgery, the prognosis of cure, significant progress, progress and no response were obtained in 3,4,5,2 cases respectively. The total effectiveness reached 85.71%. Among those CT findings, the volume of residual hematoma and hematoma evacution rate were relatively useful in predicting the disa- bility. Conclusion Under the circumstances of individually analyzing on the clinical and pathological information, short-term CT images （esp. the residual hematoma and hematoma evacution rate） after surgery can be used in predicting the efficacy of minimally invasive surgery for HICH.
出处
《川北医学院学报》
CAS
2007年第6期576-579,共4页
Journal of North Sichuan Medical College
