量化脑池结构分析与急诊手术指征的研究

目的 探讨急性颅内病变所致的脑池结构变化,从可代偿空间角度更本质地反映急诊手术指征.方法 按条件筛选120例急性颅内病变患者（包括颅脑损伤、脑出血、脑缺血等）,追踪CT扫描并作量化脑池结构分析,其中60例有明确传统手术指征但脑池结构清晰列为保守治疗组,相反另60例无明显颅内占位但脑池结构变化而行急诊手术治疗列为手术组.结果 按量化脑池结构分析指导决定手术的急缓,两组患者预后理想.结论 量化脑池结构分析可作为急诊手术指征的另一重要依据之一.

Research on quantify structural analysis of brain cisterns and emergency surgical indications

Objective To investigate the changes of brain cisterns structure caused by acute intracranial lesions,which can response emergency surgical indications more fundamentally from a compensatory spatial perspective.Methods One hundred and twenty cases of acute intracranial lesions （including traumatic brain injury,cerebral hemorrhage,cerebral ischemia,etc） were conditionally screened.Track CT scan and quantify structural analysis of brain cisterns,60 cases were classified as the conservative treatment group which had the traditional indication for surgery and the definition of brain cisterns.Another 60 cases were classified as the emergency surgery group which had no obvious intracranial spaceoccupying but brain cisterns structure disappeared.Results According to quantify brain cisterns structure analysis to guide surgical decision.Two groups both had good prognosis.Conclusions Quantify structural analysis of brain cisterns can be considered as one of the important indications for emergency surgery.