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目的探讨脑出血的CT定量测量和计分的临床价值。方法选择320例脑出血患者为研究对象,行颅脑CT连续扫描,层厚8 mm,测量血肿量和CT图像计分,并分为保守治疗组(214例)和颅穿尿激酶冲洗引流治疗组(106例)进行临床对照分析。结果依CT图像计分将脑出血分为轻型(≤5分)占21.3%(68例),中型(6～10分)占58.1%(186例),重型(≥11分)占20.6%(66例),各型之间疗效比较差异有统计学意义(P<0.05),CT计分与所测量血肿量大小呈正相关。颅穿尿激酶冲洗引流能有效促进血肿的清除和吸收。结论 CT图像计分能较好评估脑出血患者病情的演变和预后,为临床制定合理治疗方案提供客观依据。
Objective To investigate the clinical value of CT quantitative measurement and scoring in patients with intracerebral hemorrhage. Methods A total of 320 patients with cerebral hemorrhage were selected as the study subjects. CT scans of 8 mm in thickness were performed in the patients with cerebral hemorrhage. The hematoma volume and CT images were scored and divided into conservative treatment group (214 cases) Group (106 cases) for clinical control analysis. Results Intracranial hemorrhage was classified as mild (≤5 points) in 21.3% (68 cases), moderate (6-10 points) in 58.1% (186 cases) and heavy (≥11 points) in 20.6% 66 cases). There was significant difference in curative effect between different types (P <0.05). CT score was positively correlated with the size of hematoma measured. Cranial urokinase flushing drainage can effectively promote the removal and absorption of hematoma. Conclusion CT image score can better assess the evolution and prognosis of patients with intracerebral hemorrhage and provide an objective basis for the development of a reasonable treatment plan.