CAJ | 학술논문

　　目的通过对颅内血肿术后6周内MRI表现，分析评价其临床价值，指导临床治疗。方法收集选择60例脑外伤与高血压颅内出血术后MRI资料，男性51例，女性9例，年龄在10至65岁，平均年龄48岁，这些病例先后在2天至6周内进行四次以上磁共振检查，对这些术后MRI影像资料分析整理。结果21例血肿基本清除，37例血肿缩小，2例脑内血肿变化不大，2例术区引流管浅或不在血肿内，6例脑疝征象解除或减轻，术区残留血吸收消失一般要1-4周；术区周围脑组织肿胀、水肿减轻至消失需一周至一个月左右；手术创口处脑疝7例，迟发脑内出血2例，硬膜下积液9例，术后并发脑梗塞1例。结论除非病情有特殊变化，常规术后48小时内复查，术后一周再复查一次，以后可根据病情2-3周复查一次。低场磁共振能准确显示血肿大小、术区残留血量和脑疝的变化情况、引流管的位置，以及并发症的发生情况，观察脑水肿程度及吸收消失过程，在判断残留血量的敏感性上优于CT，能为临床诊断治疗提供准确依据，指导临床治疗。
　　목적통과대로내혈종술후6주내MRI표현，분석평개기림상개치，지도림상치료。방법수집선택60례뇌외상여고혈압로내출혈술후MRI자료，남성51례，녀성9례，년령재10지65세，평균년령48세，저사병례선후재2천지6주내진행사차이상자공진검사，대저사술후MRI영상자료분석정리。결과21례혈종기본청제，37례혈종축소，2례뇌내혈종변화불대，2례술구인류관천혹불재혈종내，6례뇌산정상해제혹감경，술구잔류혈흡수소실일반요1-4주；술구주위뇌조직종창、수종감경지소실수일주지일개월좌우；수술창구처뇌산7례，지발뇌내출혈2례，경막하적액9례，술후병발뇌경새1례。결론제비병정유특수변화，상규술후48소시내복사，술후일주재복사일차，이후가근거병정2-3주복사일차。저장자공진능준학현시혈종대소、술구잔류혈량화뇌산적변화정황、인류관적위치，이급병발증적발생정황，관찰뇌수종정도급흡수소실과정，재판단잔류혈량적민감성상우우CT，능위림상진단치료제공준학의거，지도림상치료。
Objectine: Based on the findings of 6 weeks MRI intracranial hematoma after operation, analysis and evaluation of its clinical value, to guide the clinical treatment. Materials and Methods: Colect 60 cases of intracranial hypertension MRI data of brain trauma and postoperative bleeding, male 51 cases, female 9 cases, aged 10 to 65 years old, the average age is 48 years old, these cases in 2 days to 6 weeks more than four magnetic resonance examination, analyzing the postoperative MRI image data.Results: 21 cases of hematoma clearance of hematoma, 37 cases of narrowing, 2 cases of intracerebral hematoma changed little, 2 cases of surgical drains shalow or not in the hematoma, 6 cases of cerebral hernia symptoms relieve or ease, postoperative residual blood absorbed disappear generaly 1-4 weeks; the operation area surrounding brain tissue sweling, edema relieved at a weeks to a month or so; operation wound hernia in 7 cases, delayed intracerebral hemorrhage in 2 cases, 9 cases of subdural effusion, 1 cases of postoperative cerebral infarction.Conclusion: Unless the condition is special changes, review within 48 hours of routine postoperative, one week after the surgery once again, then according to the condition of 2-3 weeks a review. Low field MRI can accurately display the operation area, volume and residual variation of herniation of the drainage tube location, and complications were observed, the degree of cerebral edema and absorbed, superior in sensitivity of judging residual volume on CT, can provide accurate basis for clinical diagnosis and treatment, guiding clinical therapy.