新型国产16层移动CT在颅脑创伤中的临床应用

目的探讨新型国产16层移动CT在颅脑创伤中的应用价值。 方法收集吉林大学第一医院神经创伤外科自2018年10月16日至11月16日选取的100例志愿者的新型16层移动CT的头部影像资料，包括普通头部体检者50例，神经创伤外科普通病房患者25例和重症监护室患者25例。所有患者在神经创伤外科重症监护病房的铅防护CT室内进行16层移动CT头部扫描，同时在放射线科行普通CT头部检查。对比分析新型16层移动CT头部成像质量和性能，并对重症监护室患者行16层移动CT头部检查耗时与转运去放射线科普通CT头部检查耗时进行比较。 结果50例体检者头部16层移动CT扫描显示脑组织形态、结构和密度清楚，成像质量清晰；50例颅脑创伤患者头部16层移动CT扫描显示脑挫裂伤、颅内血肿、脑梗死、颅骨骨折等病灶显示清晰，满足颅脑创伤疾病的诊断要求。重症监护室患者16层移动CT检查耗时[（7.2±0.4）min]显著少于转运去放射线科普通CT检查耗时[（22.3±1.9）min]。 结论新型国产16排移动CT成像清晰，适合于颅脑创伤患者的临床应用，并且耗时短，尤其适合神经重症监护室的颅脑创伤患者。

Clinical application of novel 16-slice mobile CT head scan in traumatic brain injury

ObjectiveTo evaluate the clinical application of self-developed novel 16-slice mobile CT head scan in traumatic brain injury (TBI). MethodsA total of 100 cases from 16 October 2018 to 16 November 2018 who were selected from Department of Neurological Trauma Surgery, First Hospital of Jilin University were performed by 16-slice mobile CT scan in the lead-protection room in the buffer of neurotrauma intensive care unit (ICU), including 50 healthy participiants, 25 patients with TBI in general ward and 25 patients with TBI in ICU. Moreover, the 50 patients with TBI were performed by general CT. And Time consuming of patients with TBI in ICU by 16-slice mobile CT head scan and to department of radiology by general CT head scan were compared. ResultsThe head CT scan of 50 healthy participiants showed that the shape, structure and density of the brain tissue was clear. The head CT scan of 50 patients with TBI showed that brain contusion, intracranial hematoma, cerebral infarction, skull fractures and other lesions were high level to meet the clinic diagnostic criteria of TBI. Time consuming of TBI in ICU by 16-slice mobile CT head scan [(7.2±0.4)min)] was shorter than ones of the patients with TBI in ICU by general CT head scan [(22.3±1.9)min] (P<0.05). ConclusionSelf-developed novel 16-slice mobile CT head scan with high imaging quality and short time consuming was suitable for patients with TBI, especially patients with TBI in ICU.