CAJ | 학술논문

目的探讨颅脑损伤长期意识障碍患者MRI分级与清醒时间及预后的关系.方法收集珠江医院神经外科自2003年至2008年收治的66例重型颅脑损伤后意识障碍超过2周的患者,记录患者颅脑MRI表现并进行分级;记录所有清醒患者损伤后清醒时间;预后以患者伤后6个月时GOS评分进行判别.结果患者预后(GOS评分)与MRI分级存在联系,分级越高者,预后越差;MRI对预后的预测准确率为83.33%.MRI分级为Ⅰ级和Ⅱa级的清醒患者的平均清醒时间为(8.00±4.10)周,MRI分级为Ⅱb级和Ⅲ级的清醒患者的平均清醒时间为(22.67±23.66)周.结论颅脑损伤长期意识障碍患者的头颅MRI分级与患者的清醒时间及预后有关,应用MRI分级可客观、准确的预测患者的预后.
목적 탐토로뇌손상장기의식장애환자MRI분급여청성시간급예후적관계.방법 수집주강의원신경외과자2003년지2008년수치적66례중형로뇌손상후의식장애초과2주적환자,기록환자로뇌MRI표현병진행분급;기록소유청성환자손상후청성시간;예후이환자상후6개월시GOS평분진행판별.결과 환자예후(GOS평분)여MRI분급존재련계,분급월고자,예후월차;MRI대예후적예측준학솔위83.33%.MRI분급위Ⅰ급화Ⅱa급적청성환자적평균청성시간위(8.00±4.10)주,MRI분급위Ⅱb급화Ⅲ급적청성환자적평균청성시간위(22.67±23.66)주.결론 로뇌손상장기의식장애환자적두로MRI분급여환자적청성시간급예후유관,응용MRI분급가객관、준학적예측환자적예후.
Objective To investigate the relationship between MRI classification and both time of awakening and prognosis in patients with long-term consciousness disorders after traumatic brain injury. Methods Sixty-six patients, admitted to our hospital from 2003 to 2008 and suffered from severe traumatic brain injury with consciousness disorders for more than 2 weeks, were collected. The cranial MRI data of all patients were recorded and classified; the awakening time of all conscious patients after injury was recorded; the prognoses were judged by Glasgow outcome scale 6 month after the injury.The relationship between MRI classification and both time of awakening and prognosis were analyzed.Results The prognoses (the scores of Glasgow outcome scale) were closely associated with the cranial MRI classification; the higher the MRI classification, the poorer the prognosis; the accuracy rate of MRI in assessing the prognosis was 83.33%. The average awakening times were (8.00±4.10) weeks in patients with graded Ⅰ and Ⅱa of MRI classification, and (22.67±23.66) weeks in patients with graded Ⅱb and Ⅲ of MRI classification. Conclusions The MRI classification is correlative to the prognosis and the awakening time of the patients with long-term consciousness disorders after severe traumatic brain injury.Using MRI classification can objectively and accurately evaluate patients' prognosis.