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中国临床研究英文版:2019,32(3):374-377
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侧脑室前夹角变化在双侧额叶脑挫裂伤临床诊治中的价值
(广东省梅州市人民医院神经外科,广东 梅州 514089)
Value of changes in lateral ventricle anterior angle in clinical diagnosis and treatment of bilateral frontal cerebral contusion
(Department of Neurosurgery, Meizhou People′s Hospital of Guangdong Province, Meizhou, Guangdong 514089, China)
摘要
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Received:September 14, 2018   Published Online:March 22, 2019
中文摘要: 目的 探讨侧脑室前夹角度数变化在双侧额叶脑挫裂伤患者临床诊治中的价值。方法 回顾性分析2013年1月至2017年6月收治的98例双侧额叶脑挫裂伤患者的临床资料及影像学资料,对比分析侧脑室前夹角度数与格拉斯哥昏迷评分(GCS)、颅内压变化、脑中心疝发生及预后的关系。结果 双侧额叶脑挫裂伤患者的侧脑室夹角度数与GCS评分、格拉斯哥预后评分(GOS)呈负相关(r=-0.907、-0.766,P<0.05),与颅内压呈正相关(r=0.545,P<0.05);夹角超过120°时患者脑中心疝的发病率明显高于低于120°组(P<0.05)。结论 双侧额叶脑挫裂伤患者侧脑室前夹角度数变化能够反映病情严重程度及患者不良预后,在疾病临床诊治中具有一定指导意义。
Abstract:Objective To explore the guiding value of variationofanterior clip angle of lateral ventricle in clinical diagnosis and treatment of bilateral frontal lobe contusion and laceration. Methods The clinical and imaging data of 98 patients with bilateral frontal lobe contusion and laceration treated from January 2013 to June 2017 were retrospectively studied.The relationship between the angle of anterior lateral ventricle clip and Glasgow coma scale (GCS) score, intracranial pressure changes, occurrence of central cerebral hernia, prognosis were compared and analyzed. Results In patients with bilateral frontal lobe contusion, the degree of lateral ventricle angle were negatively correlated with GCS score and Glasgow outcome scale (GOS) (r=-0.907, -0.766, P<0.05) and positively correlated with intracranial pressure (r=0.545, P<0.05); the incidence of central hernia in patients with angle over 120 degrees was significantly higher than that in patients with angle below 120 degrees (P<0.05). Conclusion The changes of anterior clip angle of lateral ventricle can reflect the severity of disease and the poor prognosis in patients with bilateral frontal lobe contusion and laceration, which has certain guiding significance in the clinical diagnosis and treatment of the disease.
文章编号:     中图分类号:R 651.1+5    文献标志码:B
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