术中经颅超声检查在创伤性脑损伤患者中的应用价值：与术后计算机断层扫描的比较
Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography.
作者信息
Ha Mahn Jeong, Yu Seung Han, Lee Jung Hwan, Choi Hyuk Jin, Kim Byung Chul
机构信息
Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea.
出版信息
J Trauma Inj. 2023 Mar;36(1):8-14. doi: 10.20408/jti.2021.0093. Epub 2022 Jun 20.
PURPOSE
The aim of this study was to assess the agreement between intraoperative transcranial sonography (TCS) and postoperative computed tomography (CT) in patients with traumatic brain injuries.
METHODS
We performed a retrospective cross-sectional study of 35 patients who underwent TCS during surgery, among those who presented to a regional trauma center and underwent decompressive craniectomy between January 1, 2017 and April 30, 2020.
RESULTS
The mean difference between TCS and CT in measuring the midline shift was -1.33 mm (95% confidence interval, -2.00 to -0.65; intraclass correlation coefficient [ICC], 0.96; P<0.001). An excellent correlation was found between TCS and CT in assessing contralateral subdural hematomas (ICC, 0.96; P<0.001) and focal hematoma lesions (ICC, 0.99; P<0.001). A very good correlation between TCS and CT was found for measurements of ventricle width (ICC, 0.92; P<0.001).
CONCLUSIONS
TCS during surgery is considered an effective diagnostic tool for the detection of intraoperative parenchymal changes in patients with traumatic brain injuries.
目的
本研究旨在评估创伤性脑损伤患者术中经颅超声检查（TCS）与术后计算机断层扫描（CT）之间的一致性。
方法
我们对2017年1月1日至2020年4月30日期间在某地区创伤中心接受减压颅骨切除术且术中接受TCS检查的35例患者进行了回顾性横断面研究。
结果
TCS与CT测量中线移位的平均差异为-1.33 mm（95%置信区间，-2.00至-0.65；组内相关系数[ICC]，0.96；P<0.001）。在评估对侧硬膜下血肿（ICC，0.96；P<0.001）和局灶性血肿病变（ICC，0.99；P<0.001）方面，TCS与CT之间存在极好的相关性。在测量脑室宽度方面，TCS与CT之间存在非常好的相关性（ICC，0.92；P<0.001）。
结论
术中TCS被认为是检测创伤性脑损伤患者术中实质变化的有效诊断工具。
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