中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2010年
3期
199-202
,共4页
脑损伤%脑干%磁共振成像%预后
腦損傷%腦榦%磁共振成像%預後
뇌손상%뇌간%자공진성상%예후
Brain injuries%Brain stem%Magnetic resonance imaging%Prognosis
目的 研究脑干损伤患者在急性期(伤后7 d内)的头颅CT和MRI表现特点,以及头颅MRI表现与预后之间的关系,为脑干损伤患者提供影像学诊断依据和预后评价指标.方法 收集本院2007年11月-2008年9月临床确诊为脑干损伤的患者作为研究对象.在脑干损伤早期对其进行头颅CT和MRI检查,伤后随访6个月,根据Barthal指数和残疾分级评分(DRS)来评价患者的预后及生存质量.结果 急性期头颅MRI对脑干损伤的发现率明显高于头颅CT,而且脑干损伤部位不同的患者,其预后差异有统计学意义.结论 在脑干损伤急性期,头颅MRI检查对腩干损伤的检出率较头颅CT高,同时对脑干病灶显示得更加清楚.依据MRI表现可以对脑干损伤进行分类,并为脑干损伤患者提供影像学诊断及预后评价依据.
目的 研究腦榦損傷患者在急性期(傷後7 d內)的頭顱CT和MRI錶現特點,以及頭顱MRI錶現與預後之間的關繫,為腦榦損傷患者提供影像學診斷依據和預後評價指標.方法 收集本院2007年11月-2008年9月臨床確診為腦榦損傷的患者作為研究對象.在腦榦損傷早期對其進行頭顱CT和MRI檢查,傷後隨訪6箇月,根據Barthal指數和殘疾分級評分(DRS)來評價患者的預後及生存質量.結果 急性期頭顱MRI對腦榦損傷的髮現率明顯高于頭顱CT,而且腦榦損傷部位不同的患者,其預後差異有統計學意義.結論 在腦榦損傷急性期,頭顱MRI檢查對腩榦損傷的檢齣率較頭顱CT高,同時對腦榦病竈顯示得更加清楚.依據MRI錶現可以對腦榦損傷進行分類,併為腦榦損傷患者提供影像學診斷及預後評價依據.
목적 연구뇌간손상환자재급성기(상후7 d내)적두로CT화MRI표현특점,이급두로MRI표현여예후지간적관계,위뇌간손상환자제공영상학진단의거화예후평개지표.방법 수집본원2007년11월-2008년9월림상학진위뇌간손상적환자작위연구대상.재뇌간손상조기대기진행두로CT화MRI검사,상후수방6개월,근거Barthal지수화잔질분급평분(DRS)래평개환자적예후급생존질량.결과 급성기두로MRI대뇌간손상적발현솔명현고우두로CT,이차뇌간손상부위불동적환자,기예후차이유통계학의의.결론 재뇌간손상급성기,두로MRI검사대남간손상적검출솔교두로CT고,동시대뇌간병조현시득경가청초.의거MRI표현가이대뇌간손상진행분류,병위뇌간손상환자제공영상학진단급예후평개의거.
Objective To study in patients characteristics of head CT and MRI of patients with brain stem injury at acute stage(＜7 days)and discuss the relationship of head MRI manifestations and prognosis so as to provide indicators for imaging diagnosis and prognostic evaluation.Methods The patients with brain stem injury from November 2007 to September 2008 were involved in the study.Cranial CT and MRI were performed at early stage after brain stem injury.The patients were followed up for six months to evaluate prognosis and life quality of the patients based on disable rating scale(DRS)and Barthal score.Results MRI could detect more brain stem injuries than CT.The patients with injury at different parts of brain stem showed a statistical difference in regard of prognosis.Conclusions At acute stage of brain stem injury,cranial MRI has higher detection rate and clearer display of the brain stem lesions compared with CT.MRI manifestations can not only help classification of the brain stem injury,but also cater basis for diagnosis and prognosis evaluation of patients with brain stem injury.
