中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2010年
11期
1154-1157
,共4页
颅脑损伤%硬膜下积液%老年人
顱腦損傷%硬膜下積液%老年人
로뇌손상%경막하적액%노년인
Craniocerebral trauma%Subdural effusion%The elderly
目的 探讨老年人外伤性硬膜下积液(TSE)的CT诊断,以及与老年性脑萎缩的鉴别要点.方法 福建省平潭县医院外科自2008年3月至2010年3月共收治60岁以上的老年TSE患者52例,回顾性分析患者的临床资料和CT表现,并与同期40例老年性脑萎缩患者的CT征象进行比较.结果 本组患者TSE共91处,其中发生于颞额部31例(34.1%),额部30例(33%);合并老年性脑萎缩34例;首次CT检查发现TSE者32例,首次CT检查阴性而复查发现TSE者20例.短期内复查CT发现积液量增多32例,TSE患者中具有局部脑回变平、脑沟变浅等占位表现者30例,具有"蛛网膜内移征"者9例,而老年性脑萎缩患者CT检查均无上述表现.结论 老年人TSE好发于颞、额部,与老年性脑萎缩的鉴别要点为脑外间隙改变的部位与范围、局部脑回变平脑沟变浅等占位征象、"蛛网膜内移征"、短期CT复查时积液量的变化.
目的 探討老年人外傷性硬膜下積液(TSE)的CT診斷,以及與老年性腦萎縮的鑒彆要點.方法 福建省平潭縣醫院外科自2008年3月至2010年3月共收治60歲以上的老年TSE患者52例,迴顧性分析患者的臨床資料和CT錶現,併與同期40例老年性腦萎縮患者的CT徵象進行比較.結果 本組患者TSE共91處,其中髮生于顳額部31例(34.1%),額部30例(33%);閤併老年性腦萎縮34例;首次CT檢查髮現TSE者32例,首次CT檢查陰性而複查髮現TSE者20例.短期內複查CT髮現積液量增多32例,TSE患者中具有跼部腦迴變平、腦溝變淺等佔位錶現者30例,具有"蛛網膜內移徵"者9例,而老年性腦萎縮患者CT檢查均無上述錶現.結論 老年人TSE好髮于顳、額部,與老年性腦萎縮的鑒彆要點為腦外間隙改變的部位與範圍、跼部腦迴變平腦溝變淺等佔位徵象、"蛛網膜內移徵"、短期CT複查時積液量的變化.
목적 탐토노년인외상성경막하적액(TSE)적CT진단,이급여노년성뇌위축적감별요점.방법 복건성평담현의원외과자2008년3월지2010년3월공수치60세이상적노년TSE환자52례,회고성분석환자적림상자료화CT표현,병여동기40례노년성뇌위축환자적CT정상진행비교.결과 본조환자TSE공91처,기중발생우섭액부31례(34.1%),액부30례(33%);합병노년성뇌위축34례;수차CT검사발현TSE자32례,수차CT검사음성이복사발현TSE자20례.단기내복사CT발현적액량증다32례,TSE환자중구유국부뇌회변평、뇌구변천등점위표현자30례,구유"주망막내이정"자9례,이노년성뇌위축환자CT검사균무상술표현.결론 노년인TSE호발우섭、액부,여노년성뇌위축적감별요점위뇌외간극개변적부위여범위、국부뇌회변평뇌구변천등점위정상、"주망막내이정"、단기CT복사시적액량적변화.
Objective To investigate how to diagnosis traumatic subdural effusion (TSE) and differentiate it with senile encephalatrophy in aged people by CT scan. Methods Fifty-two aged patients with TSE and 40 aged patients with encephalatrophy, admitted to our hospital from March 2008 to March 2010, were chosen in the study. Their clinical data and CT manifestations were retrospectively analyzed and compared. Results Fifty-two patients with TSE had 91 sites of the lesion, including 31 lesions located in temporal-frontal lobe and 30 lesions in frontal lobe. Among the 52 patients, 34 were also noted as having encephalatrophy. First-time CT demonstrated 32 patients with TSE, and the second-time CT on the left patients showed 20 having TSE too. Among the 52 patients, increasing amount of fluid in a short term was noted in 32 patients; local widened gyri with a flattened surface and narrowed sulci was presented in 30; "compressed arachnoid sign" was found in 9. CT results demonstrated that no above-mentioned manifestations were presented in patients with encephalatrophy.Conclusion For aged person, TSE is usually located in the temporal and frontal lobe, and should be differentiated with senile encephalatrophy. The key-points for differentiation include the location and the extent of changes of extra-cerebral space, the space-occupying signs as local flattened gyri and narrowed sulci, the appearing of "compressed arachnoid sign" and the changes of effusion in a short-term review.
