脑室出血CT值对术式选择及其预后的临床研究

CT value of hematoma as a gaide on surgical method selection and prognosis for ventricular hemorrhage.

目的探讨脑室出血CT值对术式选择的指导意义及与病情预后的关系。方法回顾性分析186例侧脑室出血病例的血肿CT值，每10HU分成一组，对其脑室引流效果和1个月后日常生活能力（ADL分级）进行对比分析。结果60HU以下与70HU以上组别之间ADL与脑室引流显效例数差异有统计学意义（P〈0．05）。结论急性期CT扫描显示脑室出血的CT值对应采取的具体术式和病情预后有重要指导价值。

Objective To explore the method and the relationship beween the CT value and prognosis. Methods A respeetive analysis on CT values of 186 patients who suffered ventricular hemorrhage was performed, effects of ventricular drainage and ADL a month after drainage were compared. Results There was significant difference between groap below 60HU and groap above 70HU, P 〈 0.05. Condusion Acute CT scan shows that the CT value of hematoma has gaiding significance for selecting surgical method and discovering prognosis.