[1]朱旭,李克芬,李欣颢,等.mGS评分联合侧脑室颞角最大宽度对重度脑室出血术后并发慢性脑积水的预测价值[J].中国临床神经外科杂志,2023,28(10):613-616620.[doi:10.13798/j.issn.1009-153X.2023.10.002]
　ZHU Xu,LI Ke-fen,LI Xin-hao,et al.Predictive value of mGS score combined with maximum width of the temporal horn of the lateral ventricle for chronic hydrocephalus in patients with severe ventricular hemorrhage after external ventricular drainage[J].,2023,28(10):613-616620.[doi:10.13798/j.issn.1009-153X.2023.10.002]
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mGS评分联合侧脑室颞角最大宽度对重度脑室出血术后并发慢性脑积水的预测价值()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
28
期数:
2023年10期
页码:
613-616620
栏目:
论著
出版日期:
2023-10-31

文章信息/Info

Title:
Predictive value of mGS score combined with maximum width of the temporal horn of the lateral ventricle for chronic hydrocephalus in patients with severe ventricular hemorrhage after external ventricular drainage
文章编号:
1009-153X（2023）10-0613-04
作者:
朱旭; 李克芬; 李欣颢; 胡帅; 郭利; 胡艳梅; 张宁; 于国渊
056001河北，邯郸市中心医院神经外二科（朱旭、李克芬、李欣颢、张宁、于国渊），手术室（胡帅、郭利、胡艳梅）
Author(s):
ZHU Xu1;  LI Ke-fen1;  LI Xin-hao1;  HU Shuai2;  GUO Li2;  HU Yan-mei2;  ZHANG Ning1;  YU Guo-yuan1
1. Department of Neurosurgery, Handan Central Hospital, Handan 056001, China; 2. Operation Room, Handan Central Hospital, Handan 056001, China
关键词:
重型脑室出血; 慢性脑积水; 改良Graeb量表（mGS）评分; 侧脑室颞角; 预测价值
Keywords:
Severe intraventricular hemorrhage;  Chronic hydrocephalus;  Modified Graeb scale (mGS) score;  Maximum width of the temporal horn of the lateral ventricle;  Predictive value
分类号:
R 742.7; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2023.10.002
文献标志码:
A
摘要:
目的 探讨改良Graeb量表（mGS）评分联合侧脑室颞角最大宽度对重度脑室出血（SIVH）脑室外引流术（EVD）后并发慢性脑积水的预测价值。方法 回顾性分析2017年12月至2021年12月EVD治疗的205例SIVH的临床资料。出院后随访6个月，头颅CT测量Evans指数>0.19即诊断为慢性脑积水。结果 205例中，43例发生慢性脑积水，发生率为20.97%。多因素logistic回归分析显示，mGS评分高（OR=1.130；95% CI 1.063~1.219；P<0.001）、侧脑室颞角最大宽度大（OR=1.144；95% CI 1.087~1.267；P<0.001）是SIVH并发慢性脑积水的独立危险因素。ROC曲线分析结果显示，mGS评分预测慢性脑积水的曲线下面积（AUC）为0.6855，约登指数为 0.26，截断值为23分，敏感度为67.8%，特异度为55.8%；侧脑室颞角最大宽度的AUC为0.6982，约登指数为0.39，截断值为16.3 mm分，敏感度为64.2%，特异度为72.1%；两者联合的AUC为0.8394，约登指数为0.51，敏感度为83.9%，特异度为67.4%。结论 SIVH并发慢性脑积水的发生率较高，不容忽视。mGS评分联合侧脑室颞角最大宽度对SIVH并发慢性脑积水具有良好的预测价值。
Abstract:
Objective To investigate the value of modified Graeb scale (mGS) score combined with the maximum width of the temporal horn of the lateral ventricle (MW-TH-LV) in predicting chronic hydrocephalus (CH) after external ventricular drainage (EVD) for patients with severe ventricular hemorrhage (SIVH). Methods The clinical data of 205 patients with SIVH treated with EVD from December 2017 to December 2021 were retrospectively analyzed. All patients were followed up for 6 months after discharge, and the CH was diagnosed with Evans index >0.19 measured on head CT. Results Of 205 patients, 43 patients (20.97%) suffered from CH. Multivariate logistic regression analysis showed that high mGS score (OR=1.130; 95% CI 1.063~1.219; P<0.001), and wide MW-TH-LV (OR=1.144; 95% CI 1.087~1.267; P<0.001) were independent risk factors for CH in patients with SIVH after EDV. ROC curve analysis results showed that the area under the curve (AUC) of mGS score for predicting CH was 0.6855, the Yodon index was 0.26, the cut-off value was 23 points, the sensitivity was 67.8%, and the specificity was 55.8%; the AUC of the MW-TH-LV was 0.6982, the Jorden index was 0.39, thecut-off value was 16.3 mm, the sensitivity was 64.2%, and the specificity was 72.1%; the AUC of mGS score combined with the MW-TH-LV was 0.8394, the Jorden index was 0.51, the sensitivity was 83.9%, and the specificity was 67.4%. Conclusions The incidence of CH in patients with SIVH is high, which should not be ignored. mGS score combined with MW-TH-LV has a good predictive value for CH in patients with SIVH after EDV.

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备注/Memo

备注/Memo:
（2023-04-11收稿，2023-05-29修回）
通讯作者：于国渊，E-mail：wangxiwang1117@163.com
更新日期/Last Update: 2023-10-31