摘要
目的通过观察外伤性硬膜外血肿患者的CT特点,探讨硬膜外血肿大小与骨折线长度、类型及部位的关系,为临床观察病情和手术止血提供依据。方法 2010-06—2013-05在我院神经外科连续入院的外伤性硬膜外血肿患者。收集包括人口学因素、临床表现、CT及其他辅助检查结果等数据。根据血肿大小将研究对象分为H组(>15mL)和L组(<15mL)。以冠状缝、人字缝、颞骨鳞状缝将脑颅分为额部、顶部、枕部、颞部4个区域,如血肿跨区域的则以主要部分分类。通过CT和(或CTA)测量骨折线长度和血肿量、出血部位。结果共纳入173例,其中H组患者95例(54.9%)。左侧H组比例明显低于L组(22%vs 27.7%,P<0.05),而右侧H组的比例高于L组(34.1%vs 19.7%,P<0.05)。与L组相比,H组中粉碎性骨折较常见(26%vs 10.4%,P<0.05),但线性骨折比例较低,二者差异有统计学意义(28.9%vs 34.7%,P<0.05)。线性骨折患者,H组的骨折线较L组偏长,差异有统计学意义[(4.2±1.9)cm vs(3.2±1.5)cm,P<0.05)]。枕部线性骨折较粉碎性骨折常见(21.4%vs 1.7%,P<0.05)。结论外伤性硬膜外血肿患者血肿量与骨折类型、骨折线长度存在一定关系。
Objective To investigate the relationship between the size of traumatic epidural hematoma（TEDH）and the length,type and location of fracture line.Methods The data of 173 patients with TEDH in our hospital from June 2010 to May 2013 were collected including demographics,clinical manifestations,CT and other ancillary test results.The patients with TEDH were divided into the group H（n=95,〉15mL）and group L（n=78,〈15mL）according to the hematoma size.The fracture line length,hematoma volume and bleeding site were measured by CT and（or CTA）.Results Group H had more comminuted fracturesmore and less linear fracture compared with group L,which had significant difference.The fracture line length in group H was longer than that in group L in patients with linear fracture.Moreover,the linear fracture was more common than comminuted fracturesmore in occiput of patients with TEDH.Conclusion Hematoma volume of patients with TEDH has the certain relationship with the fracture type and fracture line length.
出处
《中国实用神经疾病杂志》
2014年第18期22-23,共2页
Chinese Journal of Practical Nervous Diseases
关键词
外伤性硬膜外血肿
粉碎性骨折
线性骨折
Traumatic epidural hematoma
Comminuted fracture
Iinear fracture
