多排螺旋CT图像计分在创伤性颅脑损伤诊断中的临床价值分析

Clinical Value of Multi-slice Spiral CT Image Scoring in the Diagnosis of Traumatic Brain Injury

目的研究多排螺旋CT图像计分诊断创伤性颅脑损伤的临床价值及判断预后的意义。方法便利选择该院2015年6月—2017年6月期间该院收治的200例患者,回顾性分析在该院就诊的200例患有创伤性颅脑损伤的患者,刚入院时便进行CT检查,如果结果为阴性,则在1 d内再次CT检查,再次阴性则2~3 d内第3次检查,总结患者CT影像特点,根据CT影像特点计分并分为轻、中、重3型,对照3型对预后的影响。结果创伤性颅脑损伤的CT影像特点多种多样,存在硬膜外和硬膜下出血、颅骨骨折、蛛网膜下腔出血、脑室内出血、弥漫性轴索损伤、脑挫裂伤等各种表现。经CT计分后,轻、中、重型颅脑损伤的预后存在不同,损伤越严重,则致残率(31.71%、52.46%、61.40%)、致死率(0.00%、8.20%、19.30%)明显升高,差异有统计学意义(P<0.05)。经3次检查共有200例患者阳性,灵敏度和特异度均达100.00%,刚入院时76.50%(153/200),1 d内89.50%(26/47),2~3 d为100.00%(21/21)。结论对于诊断创伤性颅脑损伤,CT检查优势明显,灵敏度和特异度均较高,而且CT判断预后有效,可以指导临床治疗。因此,创伤性颅脑损伤首选CT,且经复查可明显提高正确率,意义显著。

Objective To study the clinical value of multi-slice spiral CT image scoring in the diagnosis of traumatic brain injury and the significance of prognosis.Methods A total of 200 patients admitted to the hospital from June 2015 to June 2017 were convenient retrospectively analyzed.200 patients with traumatic brain injury were enrolled in the hospital.CT examination was performed just after admission.If the result is negative,then CT scan again within 1 d,and then negative for the third time within 2-3 d,summarizing the characteristics of CT images of patients,according to the characteristics of CT images and dividing into three types:light,medium and heavy.The impact of type Ⅲ on prognosis.Results CT images of traumatic brain injury were characterized by epidural and subdural hemorrhage,skull fracture,subarachnoid hemorrhage,intraventricular hemorrhage,diffuse axonal injury,and brain contusion.which performed.After CT scoring,the prognosis of mild,moderate and severe craniocerebral injury is different.The more severe the injury,the disability rate (31.71%,52.46%,61.40%) and the mortality rate (0.00%,8.20%,19.30%).Significantly elevated,statistically significant (P<0.05).After three examinations,a total of 200 patients were positive,with sensitivity and specificity of 100.00%,76.50%(153/200) at the time of admission,89.50%(26/47) within 1d,and 100.00%(21/21) at 2-3 d.Conclusion For the diagnosis of traumatic craniocerebral injury,the advantages of CT examination are obvious,the sensitivity and specificity are high,and the prognosis of CT is effective,which can guide clinical treatment.Therefore,CT is the first choice for traumatic brain injury,and the re-examination can significantly improve the accuracy rate,and the significance is obvious.