[1]张颜礼汪丽珍孟建红等.CTP在高血压性基底节区小量出血治疗方案评估中的价值[J].中国临床神经外科杂志,2017,(01):23-25.[doi:10.13798/j.issn.1009-153X.2017.01.008]
　ZHANG Yan-li,WANG Li-zhen,MENG Jian-hong,et al.Value of CTP in evaluation of treatment of hypertensive basal ganglion hemorrhage[J].,2017,(01):23-25.[doi:10.13798/j.issn.1009-153X.2017.01.008]
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CTP在高血压性基底节区小量出血治疗方案评估中的价值()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年01期
页码:
23-25
栏目:
论著
出版日期:
2017-01-18

文章信息/Info

Title:
Value of CTP in evaluation of treatment of hypertensive basal ganglion hemorrhage
文章编号:
1009-153X（2017）01-0023-03
作者:
张颜礼汪丽珍孟建红等
054000 河北，邢台市第三医院神经外科
Author(s):
ZHANG Yan-li;  WANG Li-zhen;  MENG Jian-hong;  WANG Shuang-bao;  JIA Bao-ming;  YAN Jian-min;  LI Xing-liang;  KU Hong-bin.
Department of Neurosurgery, The Third Hospital of Xingtai City, Xingtai 054000, China
关键词:
高血压性基底节区出血; 小量出血; CT灌注成像; 局部脑血流量; 手术指征
Keywords:
Hypertensive basal ganglia hemorrhage;  Small amount;  CT perfusion imaging;  Regional cerebral blood flow
分类号:
R 743.34; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2017.01.008
文献标志码:
A
摘要:
目的 探讨CT灌注（CTP）成像在高血压性基底节区小量（<30 ml）出血治疗方案评估中的价值。方法 2011年4月至2016年5月收治高血压性基底节区小量出血254例，根据入院时脑CTP成像检查结果中血肿周围局部脑血流量（rCBF）分为轻度低灌注组[rCBF≥15 ml/（100 g·min）；144例]和重度低灌注组[rCBF<15 ml/（100 g·min）；110例]；两组又根据治疗方法分为手术亚组和非手术亚组。发病28 d采用改良Rankin量表（mRS）评分评估疗效，0~3分为有效，4~5分为无效。结果 轻度低灌注组：手术亚组入院后7 d rCBF与入院时无明显差异（P>0.05）；非手术亚组入院后7 d rCBF与入院时也无明显差异（P>0.05）。重度低灌注组：手术亚组入院后7 d rCBF较入院时明显增高（P<0.05）；非手术亚组入院后7 d rCBF与入院时无明显差异（P>0.05）。轻度低灌注组：手术亚组有效率（79.7%，59/74）与非手术亚组（77.1%，54/70）无统计学差异（P>0.05）。重度低灌注组：手术亚组有效率（64.9%，37/57）明显高于非手术亚组（41.5%，22/53；P<0.05）。结论 CTP成像可提供脑出血周围脑组织血流客观数据，为小量基底节区出血手术指征的把握有较好的指导意义。
Abstract:
rgery and non-surgery subgroups according to the treatment. Results Of patients in mild low perfusion group, the treatment method (surgery or conservative treatment) had no significant effect on rCBF 7 days after admission compared to that at admission (P>0.05). There was no significant difference in the curative rate between surgery and non-surgery subgroups of patients in mild low perfusion group (P>0.05). Of patients in severe low perfusion group, conservative treatment had no significant effect on rCBF 7 days after admission (P>0.05), but surgery significantly increased rCBF 7 days after admission compared to that at admission (P<0.05). The curative rate in surgery subgroup was significantly higher than that in non-surgery subgroup of patients in severe low perfusion group (P<0.05). Conclusion The CTP imaging is helpful to the selection of treatment for small amount of HBGH, because it can provide objective evidence of rCBF around the hematoma.

参考文献/References:

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通讯作者：库洪彬，E-mail：Greenlandsunny1@163.com
更新日期/Last Update: 2016-10-28