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学科主题: 神经病学
题名:
CT定量分析技术在诊治慢性硬膜下血肿的临床应用
其他题名: Clinical application of quantitative CT analysis in the treatment of chronic subdural hematoma
作者: 许菲璠1; 郝淑煜1; 徐珑1; 鲍圣德1; 李京生1; 刘佰运1
关键词: 血肿,硬膜下,慢性 ; 计算机断层摄像 ; 计算机辅助定量分析 ; 预后 ; 复发 ; hematoma,subdural,chronic ; computer tomography ; computer-assisted volumetric analysis ; outcome ; recurrence
刊名: 中国微侵袭神经外科杂志
发表日期: 2015
DOI: 10.11850/j.issn.1009-122X.2015.08.006
期: 8, 页:354-357
收录类别: 中国科技核心期刊
文章类型: Journal Article
摘要: 目的:使用CT定量分析技术研究围手术期慢性硬膜下血肿(CSDH)变化与术后血肿复发的相关性。方法本研究纳入54例CSDH病例,共含血肿64个。研究围手术期多项典型CT指标与术后血肿复发率之间的相关性。结果11例病人(20.4%)出现术后血肿复发。术前血肿量较大(>120 ml)和(或)出院前硬膜下残液量较大(>22 ml)者术后复发率显著升高;而当硬膜下积液量小于上述阈值时,血肿不复发率分别为92.7%和95.2%。术前血肿宽度较大(>15.1 mm)和(或)术后残余血肿腔宽度较大(>11.7 mm)的CSDH病人术后复发率也明显上升。结论 CT定量容积分析技术证明术后血肿“自我吸收期”硬膜下残余积液量的变化是预测血肿复发的一种有效影像学指标。 Objective To investigate the relationship between hematoma recurrence and changes in the volume of chronic subdural hematoma (CSDH) during the perioperative period using CT volumetric analysis. Methods The study involved 54 cases of CSDH patients, including 64 hematoma. The association between recurrence rate and CT findings was investigated. Results Eleven patients (20.4%) experienced postoperative recurrence. A higher pre-operative (>120 ml) hematoma volume and/or pre-discharge subdural fluid volume (>22 ml) were significantly associated with higher recurrence. The probability of non-recurrence for values below these thresholds was 92.7%and 95.2%respectively. CSDH with larger preoperative (>15.1 mm) and/or residual widths (>11.7 mm) also had significantly increased recurrence rates. Conclusions Volumetric quantitative CT can provide strong evidence that changes in the residual fluid volume during the"self-resolution"period can be used as significant radiological predictors of recurrence.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/41599
Appears in Collections:北京大学第一临床医学院_神经外科_期刊论文

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作者单位: 1.北京大学第一医院神经外科, 北京,100034
2.100050 北京,首都医科大学附属北京天坛医院神经外科
3.国家神经系统疾病临床医学研究中心
4.北京脑重大疾病研究院神经损伤与修复研究所,中枢神经系统损伤研究北京市重点实验室
5.北京市神经外科研究所颅脑创伤室
6.100039 北京,中国人民武警总医院颅脑创伤中心
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