摘要
目的探讨3D-Slicer测算的血肿量预测动脉瘤性蛛网膜下腔出血(aSAH)后症状性脑血管痉挛(sCVS)的临床价值。方法收集福建中医药大学附属龙岩人民医院神经外科自2018年1月至2021年6月收治的84例aSAH患者入院时的CT影像资料,利用3D-Slicer测算患者的血肿量(3D-Slicer血肿量),并将患者按有无发生术后sCVS分为有sCVS组与无sCVS组。采用统计学方法比较2组患者间3D-Slicer血肿量及Fisher量表、改良Fisher量表分级分布的差异,筛选影响aSAH后sCVS发生的独立危险因素,并比较3D-Slicer血肿量在不同Fisher量表、改良Fisher量表分级患者间的差异。结果有sCVS组与无sCVS组患者在Fisher量表、改良Fisher量表分级分布方面差异均无统计学意义(P>0.05),但有sCVS组患者的3D-Slicer血肿量明显高于无sCVS组,差异有统计学意义(P<0.05)。3D-Slicer血肿量(OR=1.061,95%CI:1.004~1.120,P=0.034)是影响aSAH后sCVS发生的独立危险因素。不同Fisher量表、改良Fisher量表分级患者间的3D-Slicer血肿量总体比较差异均有统计学意义(P<0.05)。结论相比Fisher量表、改良Fisher量表,3D-Slicer测算的血肿量在预测aSAH后sCVS发生方面更有优势。
Objective To investigate the clinical value of hematoma volume estimated by 3D-Slicer in predicting symptomatic cerebral vasospasm(sCVS)after aneurysmal subarachnoid hemorrhage(aSAH).Methods CT images on admission of 84 aSAH patients,admitted to our hospital from January 2018 to June 2021,were collected.The hematoma volume of these patients was measured by 3D-Slicer(3D-Slicer hematoma volume).Patients were divided into sCVS group and non-sCVS group according to the occurrence of postoperative sCVS.The differences of 3D-Slicer hematoma volume,Fisher grading scale and modified Fisher grading scale between the two groups were compared by statistical methods,and the independent risk factors for sCVS after aSAH were screened.The differences of 3D-Slicer hematoma volume among patients with different Fisher grading scale or modified Fisher grading scale were compared.Results There was no significant difference in Fisher grading scale and modified Fisher grading scale between sCVS group and non-SCVS group(P>0.05),but the 3D-Slicer hematoma volume in sCVS group was significantly larger than that in non-SCVS group(P<0.05).3D-Slicer hematoma volume(OR=1.061,95%CI:1.004-1.120,P=0.034)was independent risk factors for sCVS after aSAH.The comparison of 3D-Slicer hematoma volume among patients with different Fisher grading scale or modified Fisher grading scale showed statistical difference(P<0.05).Conclusion As compared with Fisher grading scale and modified Fisher grading scale,the hematoma volume measured by 3D-Slicer has more advantage in predicting sCVS after aSAH.
作者
卢荣加
周绍福
伊鹏
Lu Rongjia;Zhou Shaofu;Yi Peng(Department of Neurosurgery,Longyan People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Longyan 364000,China)
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2022年第1期41-46,共6页
Chinese Journal of Neuromedicine
