CT image datamation as the outcome related factors of patients with traumatic brain injury after decompressive craniectomy

doi:10.3877/cma.j.issn.2095-9141.2015.01.007

Abstract

Abstract:

Objective

To explore CT image datamation as the outcome related factors of the patients with severe traumatic brain injury (sTBI) following decompressive craniectomy, and evaluate the relation between outcomes and the factors.

Methods

During January 2011 to June 2013, 121 TBI patients underwent decompressive craniectomy were selected for analysis. CT image datamation,age,interval of the injury to operation,admit Glasgow coma score(GCS),pupil diameter as well as the outcome influenced by them were evaluated. The prognosis was evaluated according to Glasgow outcome scale(GOS).

Results

Through statistical analysis, CT image datamation, age, interval of injury to operation, GCS, and pupil diameter are all close correlated with outcome(P＜0.05).

Conclusions

CT image datamation, ages, interval of the injury to operation, admit GCS and pupil diameter could be generally applied as indicators to assess the outcome of TBI patient.

Key words: Traumatic brain injury, Decompressive craniectomy, CT datamation, Glasgow outcome scale

Peijian Li, Juan Fan, Hongtian Zhang, Hao Tang, Ruxiang Xu. CT image datamation as the outcome related factors of patients with traumatic brain injury after decompressive craniectomy[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2015, 01(01): 24-27.

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Figures/Tables 4

References 16

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临床特征	例数
性别
男	104
女	17
年龄
15～20岁	4
21～30岁	12
31～40岁	16
41～50岁	40
51～60岁	16
61～70岁	20
71～80岁	12
80岁以上
受伤-手术时间间隔
≤24h	1
24～48h	102
＞48h	10
GCS评分
≤3	76
3～5	45
对光反射
双侧灵敏	18
单侧灵敏	37
双侧迟钝/消失	64
眼疾无法观察	2
CT值评分
1	1
2	3
3	20
4	51
5	34
6	12

临床特征	例数
性别
男	104
女	17
年龄
15～20岁	4
21～30岁	12
31～40岁	16
41～50岁	40
51～60岁	16
61～70岁	20
71～80岁	12
80岁以上
受伤-手术时间间隔
≤24h	1
24～48h	102
＞48h	10
GCS评分
≤3	76
3～5	45
对光反射
双侧灵敏	18
单侧灵敏	37
双侧迟钝/消失	64
眼疾无法观察	2
CT值评分
1	1
2	3
3	20
4	51
5	34
6	12

分组	年龄(岁)	受伤至手术间隔(h)	入院瞳孔(患侧)(mm)	入院瞳孔(对侧)(mm)	入院GCS(分)	CT值
预后良好组(n=75)	39.12±6.42	35.75±7.86	2.81±0.49	3.02±0.73	6.40±1.52	3.55±0.92
预后不良组(n=46)	53.93±8.64	9.43±2.15	3.57±1.02	3.54±1.02	4.54±1.11	4.51±0.96
t值	27.257	11.712	39.579	8.661	25.147	19.221
P值	0.000	0.000	0.000	0.035	0.000	0.000

分组	年龄(岁)	受伤至手术间隔(h)	入院瞳孔(患侧)(mm)	入院瞳孔(对侧)(mm)	入院GCS(分)	CT值
预后良好组(n=75)	39.12±6.42	35.75±7.86	2.81±0.49	3.02±0.73	6.40±1.52	3.55±0.92
预后不良组(n=46)	53.93±8.64	9.43±2.15	3.57±1.02	3.54±1.02	4.54±1.11	4.51±0.96
t值	27.257	11.712	39.579	8.661	25.147	19.221
P值	0.000	0.000	0.000	0.035	0.000	0.000

影响因素	OR值	95%CI	Ward	P值
年龄	0.166	0.029～0.821	5.107	0.031
受伤至手术时间间隔	0.124	0.024～0.661	4.494	0.015
瞳孔直径	0.024	0.015～0.374	4.537	0.034
入院GCS评分	0.131	0.045～0.433	5.731	0.011
CT值	0.059	0.014～0.323	4.142	0.012

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