[1]薛 鑫 李瑞豪 卢维新 杨文桢 任海军.Helsinki CT评分和Stockholm CT评分对中、重型颅脑损伤预后的预测价值[J].中国临床神经外科杂志,2019,(05):269-271275.[doi:10.13798/j.issn.1009-153X.2019.05.004]
 XUE Xin,LI Rui-hao,LU Wei-xin,et al.Values of Helsinki CT and Stockholm CT scoring systems to prediction of prognoses in patients with moderate and severe traumatic brain injury[J].,2019,(05):269-271275.[doi:10.13798/j.issn.1009-153X.2019.05.004]
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Helsinki CT评分和Stockholm CT评分对中、重型颅脑损伤预后的预测价值()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年05期
页码:
269-271275
栏目:
论著
出版日期:
2019-05-27

文章信息/Info

Title:
Values of Helsinki CT and Stockholm CT scoring systems to prediction of prognoses in patients with moderate and severe traumatic brain injury
文章编号:
1009-153X(2019)05-0269-03
作者:
薛 鑫 李瑞豪 卢维新 杨文桢 任海军
730000 兰州,兰州大学第二医院神经外科(薛 鑫、李瑞豪、卢维新、杨文桢、任海军)
Author(s):
XUE Xin LI Rui-hao LU Wei-xin YANG Wen-zhen REN Hai-jun
Department of Neurosurgery, The second Hospital, Lanzhou University, Lanzhou 730000, China
关键词:
颅脑损伤 Helsinki CT评分Stockholm CT评分预后
Keywords:
Traumatic brain injury Helsinki CT score Stockholm CT score Prognosis Prediction
分类号:
R 651.1+5; R 445.3
DOI:
10.13798/j.issn.1009-153X.2019.05.004
文献标志码:
A
摘要:
目的 探讨Helsinki CT评分和Stockholm CT评分对中、重型颅脑损伤(TBI)预后的预测能力。方法 回顾性分析2017年9月至2018年9月收治的51例中、重型TBI的临床资料。选取入院后72 h内或术前最差的头颅CT影像进行Stockholm和Helsinki评分。伤后3个月按GOS评分评估预后,使用受试者工作特征(ROC)曲线确定两个CT评分的预测预后的能力。结果 伤后3个月,GOS评分5分13例,4分12例,3分5例,2分1例,1分20例;预后良好25例,预后不良26例;病死率为39.2%(20/51)。预后不良组Helsinki CT评分和Stockholm CT评分较预后良好组均明显增高(P<0.05)。根据ROC曲线分析结果,Helsinki CT评分曲线下面积(AUC)为0.922(95%置信区间0.848~0.996;P<0.001),以Helsinki CT评分=7.5分判断预后不良的敏感性为73.1%,特异性为100.0%;Stockholm CT评分AUC为0.905(95%置信区间0.826~0.985;P<0.001),Stockholm CT评分=1.75分判断预后不良的敏感性为84.6%,特异性为84.0%。结论 Helsinki CT和Stockholm CT评分都能很好地预测中、重型TBI的近期预后,两种评分系统的预测性能相当。
Abstract:
ObjectiveToevaluatethepredictivepoweroftheHelsinkiCTandStockholmCTscoringsystemsforoutcomesinthepatientswithmoderateandseveretraumaticbraininjury(TBI).MethodsCTexaminationwereperformedwithin72hoursafteradmissionorbeforetheoperationin51TBIpatientswithGCSscoresrangingfrom3to12scores.CTimagesshowingthemostsevereTBIwereselectedforStockholmandHelsinkiscoringsystems.Receiveroperatingcharacteristiccurve(ROC)wasusedtodeterminethepredictivepowerofeachCTsystemandtoexaminecorrelativitywithlong-termneurologicaloutcomesinthepatients.ResultsOf51patientswithTBI,28weremaleand23female.Theiraverageagewas(38.7±16.8)yearsoldandtheaverageGCSwas(7.7±2.6).AccordingtoGOS,of51patientsprognoses,30(58.8%)hadgoodprognosesand21(41.2%)poor.TheprognosisassessedbyGOSwasapproximatelyconsistedwiththatpredictedbyHelsinkiCTorStockholmCTsysteminthesepatients(r=0.64,P<0.01).ROCshowedthattheareasundercurve(AUC)ofHelsinkiCTsystemandStockholmCTwere0.728and0.725,respectively.ConclusionsHelsinkiCTandStockholmCTcanwellpredictthelong-termprognosesinthepatientswithmoderateandsevereTBI,andtheyhavecomparablepredictiveperformance.

参考文献/References:


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备注/Memo

备注/Memo:
基金项目:兰州市城关区 2017年科技计划项目(2017SHFZ0026)
通讯作者:任海军 E-mail:baiyunguan@hotmail.com
更新日期/Last Update: 2019-05-27