CT平扫在基底节区自发性脑出血血肿增大预测中的价值被引量：1

The Value of CT Plain Scan in Predicting Enlargement of Spontaneous Intracerebral Hemorrhage in Basal Ganglia

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摘要目的研究CT平扫检查对基底节区自发性脑出血血肿增大的预测价值。方法回顾性分析182例超急性期基底节区脑出血患者,于症状发生6 h及24 h内先后两次行头颅CT平扫。影像资料由两名经验丰富的放射科医师进行分析,以血肿有无增大为因变量,以UHG速度、血肿形态、"黑洞征""混杂征"及初始血肿体积分组为自变量做二元Logistic回归分析。结果 182例患者中,血肿增大组47例,无血肿增大组135例。单因素分析显示血肿UHG速度、血肿形态、"黑洞征""混杂征"及初始血肿体积在两组间比较(χ~2=19.968、21.397、23.758、25.792及t=-3.238,P均<0.05);二元Logistic回归分析显示UHG速度、"黑洞征"和"混杂征"分组在两组间差异有统计学意义(P=0.040、0.002及0.001)。结论 UHG速度、"黑洞征"和"混杂征"均为急性基底节区脑出血血肿增大的独立预测因素,应用简便,可用于指导治疗。

作者杨立平李福兴李文贵

机构地区天津市宝坻区人民医院影像科天津医科大学宝坻临床学院

出处《继续医学教育》 2018年第12期160-162,共3页 Continuing Medical Education

关键词基底节脑出血血肿增大体层摄影术 X线计算机

分类号 R651 [医药卫生—外科学]

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