颅脑外伤手术前后CT影像分析

对比颅脑外本文收集颅脑外患者患者１００例，大部分在伤后１小时九小时内作ＣＴ扫描目的是提高地颅 外伤手术前后ＣＴ表现变化的认识，使病人得到及时有效治疗。材料和方法：收集颅脑外伤手术患者１０６例，伤后１小时至１３天作ＣＴ检查，大部分在外伤后娄一部例在手术后１０天内ＣＴＴ昨查１次以上。均采用颅骨钻引流或去骨瓣减压术。将手术前后ＣＴ表现进行对比影像分析。结果：单纯硬膜外血肿，术后出现脑挫裂伤较少，且程度较

CT Imaging Analysis of Craniocerebral Trauma Pre and Post Operation

Objective: To improve the ability of recognizing CT changes changes of cranioerebral trauma pre and post operation, for the sake of treating patients immediately and effectively.Materials and Methods:106 operated cases for craniocerebral trauma were collected, which were performed CT scanning from 1 hour to 13 days, mostly several hours after trauma. One or more follow-up CT scan were taken in all cases within ten days after operation, Sphenotresia or craniotomy with bone flap was performed in all cases. CT findings of the pre and post operation were analysed contrastively. Results : Simple epidural haematoma cases had a little and slight contusion and laceration of the brain after operation. In the cases of epidural haematoma with contusion and laceration of the brain, their contusion and laceration might be constant or became more serious in a short bine, but these lesions might reduce afterwards. In simple subdural haematoma cases, the frequency of contusion and laceration of the brain and/or epidural haematoma was high up 51.72% post-operatively. In the cases of subdural haematoma with contusion and laceration, their contusion and laceration became more serious in 38.46 %. In subdural haematoma with or without contusion and laceration cases, their re-operation rate was 21.43 %. Among the 17 post-tfaumatic cerebral infarction cases, l occurred before operation, the others after operation.Conclusion: In craniocerebral trauma CT scan after operation is able to discover post-operative changes and direct clinical re-operation immediately and effectively.