中风与神经疾病杂志2025，Vol.42Issue(11)：1008-1011,4.DOI:10.19845/j.cnki.zfysjjbzz.2025.0184
术中超声对重型颅脑损伤患者术中急性脑膨出原因的诊断及预后评估
Clinical value of intraoperative ultrasound in etiological diagnosis and prognostic evaluation of acute encephalo-cele in patients with severe traumatic brain injury
摘要
Abstract
Objective To apply bedside ultrasound for real-time monitoring of intracranial conditions in patients with severe traumatic brain injury experiencing acute encephalocele during large craniotomy,and to investigate the clinical value of intraoperative bedside ultrasound in the diagnosis and prognostic evaluation of acute encephalocele.Methods A retrospec-tive analysis was performed for 32 adult patients with severe traumatic brain injury,and according to whether intraopera-tive ultrasound was performed,they were divided into ultrasound group with 17 patients and CT group with 15 patients.The two groups were compared in terms of time of operation,accuracy,mortality rate,and postoperative Glasgow Outcome Scale(GOS)score.The chi-square test was used for comparison of categorical data between groups,and the independent samples t-test was used for comparison of continuous data between groups.Results Both ultrasound and CT could pro-vide an accurate basis for diagnosis,with no significant difference in diagnostic accuracy;however,compared with the CT group,the ultrasound group had significantly shorter time of operation and diagnostic time.Based on GOS score and grad-ing results at 6 months after surgery,the patients undergoing ultrasound examination had a significantly better prognosis than those undergoing CT examination.Conclusion Intraoperative ultrasound for patients with severe traumatic brain in-jury enables rapid and accurate identification of etiology,facilitates dynamic intracranial monitoring,and shortens the time for rescue,showing an important clinical significance in improving prognosis and reducing mortality rate.Therefore,it holds promise for clinical application.关键词
颅脑损伤/术中超声检查/急性脑膨出/迟发性颅内血肿Key words
Traumatic brain injury/Intraoperative ultrasound examination/Acute encephalocele/Delayed intracranial hematoma分类
医药卫生引用本文复制引用
程洪瑜,罗涛,陆丹,杨彦平,周思彤,李玉骞,王佳..术中超声对重型颅脑损伤患者术中急性脑膨出原因的诊断及预后评估[J].中风与神经疾病杂志,2025,42(11):1008-1011,4.基金项目
唐都青年自主创新科学基金(2023BTDQNO22) （2023BTDQNO22）
