Cranial ultrasound in perioperative period of acute severe traumatic brain injury
10.13929/j.issn.1003-3289.2024.08.008
- VernacularTitle:颅脑超声用于急性重型颅脑创伤围手术期
- Author:
Yangang WANG
1
;
Zhenpu LYU
;
Xianzhao ZHENG
;
Zheng QIN
;
Jianxin LI
;
Ran GE
;
Feifei ZHAO
Author Information
1. 焦作市人民医院神经外科,河南焦作 454000
- Keywords:
craniocerebral trauma;
perioperative period;
ultrasonography
- From:
Chinese Journal of Medical Imaging Technology
2024;40(8):1156-1159
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of cranial ultrasound for perioperative patients with acute severe traumatic brain injury(sTBI).Methods Data of 55 sTBI patients who underwent craniotomy were retrospectively analyzed.The patients were divided into observation group(n=15)and control group(n=40)according to received perioperative cranial ultrasound or not.The general data and surgical data were compared between groups,and ultrasonic data of observation group were analyzed.Results The proportions of good prognosis 1 and 6 months after operation in observation group were both higher than those in control group,while the incidence of cerebral infarction in observation group was lower than that in control group(all P＜0.05).No significant difference of general data nor other surgical data was found between groups(all P＞0.05).Acute encephalocele occurred in 1 case in observation group during operation,and cranial ultrasound accurately showed the contralateral secondary epidural hematoma.Increased intracranial pressure in different degrees were found in all 15 cases(15/15,100％)in observation group after operation with transcranial color coded Doppler(TCCD)or transcranial Doppler(TCD),while cerebral vascular spasm was observed in 5 cases(5/15,33.33％),among them 4 cases(4/5,80.00％)were diagnosed cerebral infarction based on CT examination.Conclusion Cranial ultrasound could be used to evaluate changes of sTBI in perioperative period and guide adjusting treatment strategy in time,being valuable for reducing risk of postoperative cerebral infarction and improving prognosis.
