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目的探讨脑挫裂伤时脑室及脑干基底池CT征像改变与临床伤情和预后的关系。方法统计269例脑挫裂伤CT检查的脑脑室指数(CVI)和脑干基底池改变的资料,分析其与GCS及GOS的关系。结果CVI评分及脑干基底池评分均与GCS、GOS呈负相关。结论根据CT检查行CVI及基底池脑干评分可客观反映脑室、基底池变化,进行动态CT检查有助临床评估伤情和预后,并可用于指导治疗
Objective To investigate the relationship between CT signs of ventricular and brainstem basal cisterna and clinical injury and prognosis after contusion and laceration. Methods A total of 269 cases of contusion and laceration of brain were collected for the examination of cerebral ventricular index (CVI) and brainstem basal cistern changes in the data to analyze its relationship with GCS and GOS. Results The scores of CVI and basal pool of brain stem were negatively correlated with GCS and GOS. Conclusion According to CT scan, CVI and brainstem score of basal cistern can objectively reflect changes of ventricles and basal pools, and dynamic CT examination can help to evaluate the injury and prognosis of the patients and can be used to guide the treatment