Clinical Value of CT Signs on Predicting Hematoma Enlargement in Patients with Spontaneous Intracerebral Hemorrhage
Objective To explore the clinical value of CT signs on predicting the hematoma enlargement in patients with spontaneous intracerebral hemorrhage(sICH).Methods 91 patients with sICH admitted to our hospital from June 2020 to June 2023 were selected as the study subjects.All patients underwent CT plain scan and CT angiography(CTA)after admission,and the efficiency of different CT signs on predicting the hematoma enlargement was analyzed.Results Among 91 patients with sICH,there were 43 cases(47.25％)with hematoma enlargement and 48 cases(52.75％)without hematoma enlargement.Black hole sign was found in 41 cases(45.05％),mixed sign in 50 cases(54.95％),island sign in 39 cases(42.86％),leakage sign in 33 cases(48.35％)and spot sign in 45 cases(49.45％).The sensitivity and specificity of predicting the hematoma enlargement were 51.16％and 60.42％of CT plain scan black hole sign,were 79.07％and 66.67％of mixed sign,were 67.44％and 79.17％of island sign and were 48.84％and 89.58％of the combination of the three.The sensitivity and specificity of predicting the enlargement of hematoma were 76.74％and 77.08％of CTA leakage sign,were 83.72％and 81.25％of spot sign and were 74.42％and 91.67％of the combination of the two,and the specificity was the highest.Conclusion Both CT plain scan and CTA signs can effectively predict the hematoma enlargement in patients with sICH,and the combined prediction with CTA spot sign and leakage sign has the highest clinical value.
Spontaneous Intracerebral HemorrhageHead CTHematoma EnlargementPredictive Value
NETL
NSTL
万方数据
维普
