摘要
目的探究自发性脑出血(sICH)患者CT征象预测血肿增大的临床价值。方法选取我院2020年6月到2023年6月收治的91例sICH患者作为研究对象,患者入院后均行CT平扫及血管成像检查(CTA),分析不同CT征象预测血肿增大的效能。结果91例sICH患者中,发生血肿增大43例(47.25%),未发生血肿增大48例(52.75%);CT平扫出现黑洞征41例(45.05%),混合征50例(54.95%);岛征39例(42.86%);渗漏征33例(48.35%);斑点征45例(49.45%)。CT平扫中黑洞征预测血肿增大的敏感度、特异度分别为51.16%、60.42%;混合征为79.07%、66.67%;岛征为67.44%、79.17%;三者联合为48.84%、89.58%。CTA征象中渗漏征预测血肿增大的敏感度、特异度分别为76.74%、77.08%;斑点征为83.72%、81.25%;二者联合为74.42%、91.67%,其特异度最高。结论CT平扫与CTA征象均可有效预测sICH患者血肿增大,其中CTA斑点征与渗漏征联合预测临床价值最高。
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.
作者
马鹏
冯森
李冬冬
王玉峰
MA Peng;FENG Sen;LI Dong-dong;WANG Yu-feng(Department of Neurosurgery,The third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453000,Henan Province,China)
出处
《中国CT和MRI杂志》
2024年第1期35-37,共3页
Chinese Journal of CT and MRI
基金
2021年河南省教育厅本科高校虚拟仿真实验教学项目(175)。
关键词
自发性脑出血
头颅CT
血肿增大
预测价值
Spontaneous Intracerebral Hemorrhage
Head CT
Hematoma Enlargement
Predictive Value
