颅脑损伤患者术后CT的临床应用价值

Application Value of CT on Postoperative Brain Injury Patients

目的 评价颅脑损伤患者术后CT的临床应用价值.方法 选择2008年8月-2013年8月我院收治的颅脑损伤患者194例,回顾性分析其临床表现及CT影像学资料,知血肿大小、水肿分级、水肿是否较术前加重、加重的程度、脑挫伤程度等,并对术后CT影像学表现与临床表现的相关性进行分析.结果 术后8h内CT无异常,但患者出现病情变化者31例（16.0％）,为术中牵拉损伤脑神经引起的症状及合并其他系统疾病引起的病情变化;术后8h内CT无异常,24h后才出现异常体征,复查CT表现异常者11例（5.7％）;术后8h内CT有明显异常,患者无明显临床症状者39例（20.1％）,36 h后病情变化者24例（12.4％）.结论 颅脑损伤术后及时复查CT能够较准确地认识脑组织术后的早期演变,具有较高的临床应用价值.

Objective To explore the application value of CT on postoperative brain injury patients. Methods The clinical manifestations and CT imaging data of 194 patients with brain injury admitted to our hospital from August 2008 to August 2013 were retrospectively analyzed. Correlation between clinical manifestations and CT imaging date were analyzed. Results 8 hours after operation, 31 cases （ 16. 0% ） CT scans had no abnormality, but they occurred changes in condition, including intraoperation nerve traction injury and combined with other disease caused; 8 hours after operation, 11 cases （5.7%） CT scans had no abnormality, 24 hours after operation, they showed abnormal signs, CT scan performed exceptionally; 8 hours after operation, 39 cases （20. 1% ） CT scans showed abnormality, but they had no obvious clinical symptom, 36 hours after operation, 24 cases （ 12. 4% ） occurred changes in condition. Conclusion Checking CT image in time after the operation of brain trauma, can accurate understanding of early evolution of brain tissue.