CAJ | 학술논문

目的：探讨重型颅脑损伤患者伤后Rotterdam CT 评分情况与去骨瓣减压手术治疗选择的相关性。方法回顾了49例急性重型颅脑损伤患者伤后5 d的Rotterdam CT 评分，根据是否行去骨瓣减压手术干预分组，分析了手术组与保守治疗组Rotterdam CT评分最高峰值的差异。结果从Rotterdam评分最高分出现的时间分布情况看，手术组第1天及第4天最易出现高评分，而保守治疗组只有第1天较易出现高评分，而从Rotterdam CT评分最高分值看，手术组平均（4．7±1．3）分，保守治疗组平均为（2．5±1．0）分，2组间差异有统计学意义。结论 Rotterdam评分作为客观的颅脑外伤CT评价标准，能全面地反映颅脑损伤及颅内压力情况，且Rotterdam CT评分越高，则需去骨瓣减压手术干预的风险越高。
목적：탐토중형로뇌손상환자상후Rotterdam CT 평분정황여거골판감압수술치료선택적상관성。방법회고료49례급성중형로뇌손상환자상후5 d적Rotterdam CT 평분，근거시부행거골판감압수술간예분조，분석료수술조여보수치료조Rotterdam CT평분최고봉치적차이。결과종Rotterdam평분최고분출현적시간분포정황간，수술조제1천급제4천최역출현고평분，이보수치료조지유제1천교역출현고평분，이종Rotterdam CT평분최고분치간，수술조평균（4．7±1．3）분，보수치료조평균위（2．5±1．0）분，2조간차이유통계학의의。결론 Rotterdam평분작위객관적로뇌외상CT평개표준，능전면지반영로뇌손상급로내압력정황，차Rotterdam CT평분월고，칙수거골판감압수술간예적풍험월고。
Objective To investigate the relevance between the decompressive craniectomy and the Rotter‐dam CT scores at different time points of 5 days after severe traumatic craniocerebral injury .Methods We re‐viewed 49 cases of acute severe craniocerebral injury patients ,and recorded the highest scores in the Rotterdam CT scores at different time points of 5 days after severe traumatic craniocerebral injury ,and analyzed the differences between the patients of decompressive craniectomy and others′.Results From the time distribution of the highest Rotterdam scores ,the first days and 4 days appeared the highest score in the operative group ,but only the first day had the highest score in the non‐operative group ;and from the highest scores of the Rotterdam scores ,the av‐erage was 4 .7 ± 1 .3 in the operative group ,and others was 2 .5 ± 1 .0 ,so it meant there was significantly statisti‐cal difference .Conclusion As an objective evaluative standard ,the Rotterdam CT scores can comprehensively re‐flect the injures and the intracranial press ,and the higher the Rotterdam CT scores are ,the higher the risks of the intervention with decompressive craniectomy are .