CT在脑疝诊断治疗中的临床应用效果
|
摘要
目的观察CT在脑疝诊断治疗中的临床应用效果。方法选取2015年4月至2018年4月我院收治的71例颅内肿瘤、损伤以及自发性颅内出血并出现脑疝患者的临床及CT资料,对其进行回顾性分析。结果 CT诊断分析结果显示,71例患者中,颅内肿瘤5例(7.04%),颅内损伤37例(52.11%),自发性颅内出血29例(40.85%);脑疝类型:原发性脑疝54例(76.06%),继发性脑疝17例(23.94%)。脑疝类别:大脑镰下疝9例(12.68%),小脑幕切迹疝45例(63.38%),枕骨大孔疝17例(23.94%)。治疗方案选取:非手术治疗18例(25.35%),锥颅血肿冲洗或抽吸13例(18.31%),开颅手术24例(33.80%),侧脑室外引流16例(22.54%)。患者治疗结果:良好18例(25.35%),致残33例(46.48%),死亡20例(28.17%)。结论 CT在脑疝诊断治疗中的临床应用效果显著,其可以尽早发现脑疝情况,并予以相对适宜指导,值得推广。
Objective To observe the clinical application effect of CT in the diagnosis and treatment of cerebral hernia.Methods The clinical and CT data of 71 patients with intracranial tumors, injuries and spontaneous intracranial hemorrhage and all complicated cerebral hernia from April 2015 to April 2018 were retrospectively analyzed. Results The results of CT diagnosis showed that there were 5 cases(7.04%) of intracranial tumors, 37 cases(52.11%) of intracranial injuries, and 29 cases(40.85%) of spontaneous intracranial hemorrhage among 71 patients. The types of cerebral hernia showed that there were 54 cases(76.06%) of primary hernia and 17 cases(23.94%) of secondary hernia. The classification of cerebral hernia showed gyri callousus hernia in 9 cases(12.68%), herniation of the cerebellar incisura tentori in 45 cases(63.38%) and tonsillar hernia in 17 cases(23.94%). The treatment options included non-surgical treatment in 18 cases(25.35%), irrigation or aspiration in13 cases(18.31%), craniotomy in 24 cases(33.80%) and lateral ventricular drainage in 16 cases(22.54%). The results of treatment effects showed that 18 cases(25.35%) were good, 33 cases(46.48%) were disabled and 20 cases(28.17%) died.Conclusion The clinical application effect of CT in the diagnosis and treatment of cerebral hernia is remarkable. It can detect the situation of cerebral hernia as early as possible and give relatively appropriate guidance, which is worth popularizing.
Objective To observe the clinical application effect of CT in the diagnosis and treatment of cerebral hernia.Methods The clinical and CT data of 71 patients with intracranial tumors, injuries and spontaneous intracranial hemorrhage and all complicated cerebral hernia from April 2015 to April 2018 were retrospectively analyzed. Results The results of CT diagnosis showed that there were 5 cases(7.04%) of intracranial tumors, 37 cases(52.11%) of intracranial injuries, and 29 cases(40.85%) of spontaneous intracranial hemorrhage among 71 patients. The types of cerebral hernia showed that there were 54 cases(76.06%) of primary hernia and 17 cases(23.94%) of secondary hernia. The classification of cerebral hernia showed gyri callousus hernia in 9 cases(12.68%), herniation of the cerebellar incisura tentori in 45 cases(63.38%) and tonsillar hernia in 17 cases(23.94%). The treatment options included non-surgical treatment in 18 cases(25.35%), irrigation or aspiration in13 cases(18.31%), craniotomy in 24 cases(33.80%) and lateral ventricular drainage in 16 cases(22.54%). The results of treatment effects showed that 18 cases(25.35%) were good, 33 cases(46.48%) were disabled and 20 cases(28.17%) died.Conclusion The clinical application effect of CT in the diagnosis and treatment of cerebral hernia is remarkable. It can detect the situation of cerebral hernia as early as possible and give relatively appropriate guidance, which is worth popularizing.
引文
[1]王亚芹,胡增春,马辉.CT在脑疝诊断治疗中的临床应用分析[J].医学与哲学,2015,36(14):51-53.
[2]王洪峰.多层螺旋CT在脑疝术后脑梗死早期诊断中的应用[J].贵阳中医学院学报,2013,34(1):131-132.
[3]陈建华.高血压脑病CT和磁共振成像表现机制探讨[J].中国药物与临床,2011,11(9):1035-1036.
[4]汪恒望,刘荣华,赵志刚.外伤性脑梗死的CT诊断和临床分析[J].临床医药实践,2011,20(12):952-953.
[5]冷仕军.外伤性迟发性脑血肿的CT诊断[J].按摩与康复医学(旬刊),2011,2(1):95.
[6]田福.颅脑创伤并发中央型脑疝的诊治体会[J].山西职工医学院学报,2010,20(3):26-27.
[7]孙胜玉,马辉,郝少才,等.重型颅脑损伤致中央型脑疝的手术治疗[J].中华创伤杂志,2016,32(6):506-509.
[8]张丹,王谨,王莉,等.自发性颅内低压合并硬膜下血肿致脑疝一例[J].中华神经科杂志,2014,47(4):283-284.
[9]李晓阳,张立君,王洪峰,等.脑疝后脑梗死的临床特点与多层螺旋CT分析[J].中华脑科疾病与康复杂志:电子版,2012,2(5):20-23.
[10]林秋全,王洪峰,刘同义.多层螺旋CT在脑疝术后脑梗死中的诊断价值[J].贵阳中医学院学报,2012,34(4):58-59.
[11]刘骞.颞肌下骨瓣开颅与传统大骨瓣开颅手术治疗高血压脑出血早期脑疝临床对比研究[J].河南医学研究,2017,26(1):113-114.
[12]王立江,张吉荣,韩光良,等.CT定位下微创穿刺治疗高血压基底节区脑出血短期疗效分析[J].中华老年心脑血管病杂志,2014,16(4):391-394.
[2]王洪峰.多层螺旋CT在脑疝术后脑梗死早期诊断中的应用[J].贵阳中医学院学报,2013,34(1):131-132.
[3]陈建华.高血压脑病CT和磁共振成像表现机制探讨[J].中国药物与临床,2011,11(9):1035-1036.
[4]汪恒望,刘荣华,赵志刚.外伤性脑梗死的CT诊断和临床分析[J].临床医药实践,2011,20(12):952-953.
[5]冷仕军.外伤性迟发性脑血肿的CT诊断[J].按摩与康复医学(旬刊),2011,2(1):95.
[6]田福.颅脑创伤并发中央型脑疝的诊治体会[J].山西职工医学院学报,2010,20(3):26-27.
[7]孙胜玉,马辉,郝少才,等.重型颅脑损伤致中央型脑疝的手术治疗[J].中华创伤杂志,2016,32(6):506-509.
[8]张丹,王谨,王莉,等.自发性颅内低压合并硬膜下血肿致脑疝一例[J].中华神经科杂志,2014,47(4):283-284.
[9]李晓阳,张立君,王洪峰,等.脑疝后脑梗死的临床特点与多层螺旋CT分析[J].中华脑科疾病与康复杂志:电子版,2012,2(5):20-23.
[10]林秋全,王洪峰,刘同义.多层螺旋CT在脑疝术后脑梗死中的诊断价值[J].贵阳中医学院学报,2012,34(4):58-59.
[11]刘骞.颞肌下骨瓣开颅与传统大骨瓣开颅手术治疗高血压脑出血早期脑疝临床对比研究[J].河南医学研究,2017,26(1):113-114.
[12]王立江,张吉荣,韩光良,等.CT定位下微创穿刺治疗高血压基底节区脑出血短期疗效分析[J].中华老年心脑血管病杂志,2014,16(4):391-394.