颅脑损伤CT计分与手术指征的相关研究

The study of CT scoring and surgical indications for brain injury

目的:探讨分析颅脑损伤CT计分与手术指征之间的关系。方法:选取2014年6月—2016年10月我院60例颅脑损伤的患者,在受到外伤24小时内进行头颅CT扫描和并行CT计分,并得到CT图像计分。将其分为对照组和实验组,对照组实施保守治疗,实验组实施手术治疗,对两组患者治疗后的预后情况进行比较分析。结果:按照CT计分将患者的颅脑损伤分为轻型、中型、重型。轻型<5分,共13例;中型5分~10分,共21例;重型>10分,共36例。中型实验组患者预后重度残疾的死亡率远远低于对照组,差异具有统计学意义(P<0.05),而轻型和重型没有显著性的差异。结论:采用颅脑损伤CT计分,可更好的为患者的手术指征提供依据,并实施手术,效果显著。

Objective： To explore the relationship between CT score and surgical indications for craniocerebral injury. Methods： Forty patients with craniocerebral injury were selected from June 2014 to October 2016. Skull CT scans and CT scoring were performed within 24 hours of trauma, and CT images were scored. The patients were divided into control group and experimental group. The control group was treated conservatively and the experimental group was treated surgically. The prognosis of the two groups was compared and analyzed. Results： According to the CT score, the brain injury of the patients was divided into light, medium and heavy. Light type 〈5 points, a total of 13 cases; medium 5 points -10 points, a total of 21 cases; heavy〉10 points, a total of 36 cases. The mortality rate of patients with moderate to severe disability was significantly lower than that of the control group （P 〈0.05）, but there was no significant difference between light and heavy. Conclusion： The CT score of craniocerebral injury can be used to provide the basis for the indications of the patients, and the operation is effective