慢性硬膜下血肿引流术后脑表面弹性与脑再膨胀之间的关系。
The relationship between brain surface elastance and brain reexpansion after evacuation of chronic subdural hematoma.
作者信息
Fukuhara T, Gotoh M, Asari S, Ohmoto T, Akioka T
机构信息
Department of Neurological Surgery, Okayama University Medical School, Japan.
出版信息
Surg Neurol. 1996 Jun;45(6):570-4. doi: 10.1016/0090-3019(95)00471-8.
BACKGROUND
Brain stiffness has been thought to be a factor affecting brain re-expansion after the evacuation of chronic subdural hematoma.
METHODS
As an index of brain stiffness, the pressure for compressing the brain using an ophthalmodynamometer was defined as brain-surface elastance. This elastance in 14 patients was measured and analyzed in relation to brain re-expansion.
RESULTS
Patients with an enlarged subdural space on computed tomography 1 month after the operation had higher elastance. There was a correlation between high elastance and high age.
CONCLUSIONS
Measuring the elastance after evacuation of the hematoma may help predict the persistence of a subdural space.
背景
脑硬度一直被认为是影响慢性硬膜下血肿引流后脑再膨胀的一个因素。
方法
作为脑硬度的指标，使用检眼镜眼压计压缩脑的压力被定义为脑表面弹性。测量并分析了14例患者的这种弹性与脑再膨胀的关系。
结果
术后1个月计算机断层扫描显示硬膜下腔扩大的患者弹性较高。高弹性与高龄之间存在相关性。
结论
测量血肿引流后的弹性可能有助于预测硬膜下腔的持续存在情况。
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