基底节区高血压性脑出血CT特征与预后的关系

Relationship Between CT Features and Prognosis in Patients with Hypertensive Intracerebral Hemorrhage in Basal Ganglia

目的探讨基底节区高血压性脑出血CT特征与预后关系。方法收集200例患者并对其性别、年龄、出血量、中线移位、血肿破入脑室、血肿扩大进行观察,随访发病3个月后,依据mRS评分分为预后良好组(mRS≤2分)和不良组(mRS≥3分),分析两组CT特征,研究不良预后的独立危险因素;预测不良预后的出血量及中线移位最佳分界值。结果年龄、血肿破入脑室及血肿扩大所占比例、出血量、中线移位程度,预后不良组明显高于预后良好组(P<0.05),是预后不良的独立危险因素。结论CT特征可以预测基底节区高血压性脑出血预后,为临床迅速、准确的选择治疗方案提供影像学依据。

Objective To explore the relationship between CT features and prognosis of hypertensive intracerebral hemorrhage patients in basal ganglia.Methods A total of 200 patients were collected and observed in terms of gender,age,blood loss,midline shift,hematoma rupture breaking into the ventricle and hematoma enlargement.After 3 months of follow-up,the patients were divided into the group with good prognosis(mRS≤2 points)and the group with poor prognosis(mRS≥3 points)according to mRS score.The CT features of the two groups were analyzed to study the independent risk factors for poor prognosis and to predict the optimal cut-off value of the bleeding volume and midline shift for poor prognosis.Results Age,proportion of hematoma bursting into ventricles and hematoma enlargement,bleeding volume and midline shift in poor prognosis group were higher than those in good prognosis group(P<0.05),which were independent risk factors for poor prognosis group.Conclusion CT features can be used to predict the prognosis of hypertensive intracerebral hemorrhage in basal ganglia,and provide imaging basis for the rapid and accurate selection of clinical treatment.