目的 探究入院时头颅CT混合征对自发性幕上脑出血患者开颅手术治疗后短期预后的影响.方法 回顾性连续纳入2019年1月～2022年12月在贵州医科大学附属金阳医院神经外科行开颅血肿清除术的435例自发性幕上脑出血患者.根据入院时的CT特点将患者分为混合征组(n=105)和对照组(n=330).比较两组患者的一般临床资料、影像学资料、手术资料、并发症及预后情况.根据出院时改良Rankin评分(modified Rankin scale,mRS)评定预后.采用多因素Logistic回归模型分析CT混合征与不良预后之间的独立相关性.结果 两组患者随访期预后不良的比例比较,差异无统计学意义.脑出血患者开颅手术后不良预后与年龄、吸烟史、糖尿病病史及入院时格拉斯哥昏迷评分(Glasgow coma scale,GCS)独立相关,但与混合征无关.结论 入院时头颅CT混合征与自发性幕上脑出血患者开颅手术后的不良预后无关.
Correlation between CT Blend Sign and Poor Outcomes after Craniotomy in Patients With Intracerebral Hemorrhage
Objective To explore the effect of head CT blend signs on short-term outcomes in patients with spontaneous supraten-torial intracerebral hemorrhage(ICH)after craniotomy.Methods A total of 435 patients with spontaneous supratentorial ICH who un-derwent craniotomy in the Department of Neurosurgery,Jinyang Hospital Affiliated to Guizhou Medical University from January 2019 to December 2022 were enrolled retrospectively.The patients were divided into the blend sign group(n=105)and control group(n=330)based on the CT features at admission.The general clinical data,imaging data,surgical data,complications and prognosis were collected and compared between the two groups.The outcome was assessed by the mRS(modified Rankin scale)at discharge.Multivariate Logistic regression model was used to analyze the independent correlation between CT blend sign and poor outcomes.Results During the follow-up period,there was no significant differences in the proportion of patients with poor outcomes between the two groups.The poor outcomes after craniotomy was independently correlated with age,smoking history,diabetes history and Glasgow coma scale(GCS)at admission,but not with blend signs.Conclusion Head CT blend signs on admission is not associated with the poor outcomes in patients with sponta-neous supratentorial ICH after craniotomy.
万方数据
维普
