Clinical value of intraoperative ultrasound in etiological diagnosis and prognostic evaluation of acute encephalocele in patients with severe traumatic brain injury
10.19845/j.cnki.zfysjjbzz.2025.0184
- VernacularTitle:术中超声对重型颅脑损伤患者术中急性脑膨出原因的诊断及预后评估
- Author:
Hongyu CHENG
1
;
Jia WANG
1
Author Information
1. Department of Ultrasound Diagnosis， Tangdu Hospital， Air Force Medical University， Xi’an 710038， China
- Publication Type:Journal Article
- Keywords:
Traumatic brain injury;
Intraoperative ultrasound examination;
Acute encephalocele;
Delayed intracranial hematoma
- From:
Journal of Apoplexy and Nervous Diseases
2025;42(11):1008-1011
- CountryChina
- Language:Chinese
-
Abstract:
Objective To apply bedside ultrasound for real-time monitoring of intracranial conditions in patients with severe traumatic brain injury experiencing acute encephalocele during large craniotomy， and to investigate the clinical value of intraoperative bedside ultrasound in the diagnosis and prognostic evaluation of acute encephalocele. Methods A retrospective analysis was performed for 32 adult patients with severe traumatic brain injury， and according to whether intraoperative ultrasound was performed， they were divided into ultrasound group with 17 patients and CT group with 15 patients. The two groups were compared in terms of time of operation， accuracy， mortality rate， and postoperative Glasgow Outcome Scale （GOS） score. The chi-square test was used for comparison of categorical data between groups， and the independent samples t-test was used for comparison of continuous data between groups. Results Both ultrasound and CT could provide an accurate basis for diagnosis， with no significant difference in diagnostic accuracy； however， compared with the CT group， the ultrasound group had significantly shorter time of operation and diagnostic time. Based on GOS score and grading results at 6 months after surgery， the patients undergoing ultrasound examination had a significantly better prognosis than those undergoing CT examination. Conclusion Intraoperative ultrasound for patients with severe traumatic brain injury enables rapid and accurate identification of etiology， facilitates dynamic intracranial monitoring， and shortens the time for rescue， showing an important clinical significance in improving prognosis and reducing mortality rate. Therefore， it holds promise for clinical application.
- Full text:202512291026456327术中超声对重型颅脑损伤患者术中急性脑膨出原因的诊断及预后评估.pdf
