The initial CT blend sign is not associated with poor patient outcomes after stereotactic minimally invasive surgery.
The initial CT blend sign is not associated with poor patient outcomes after stereotactic minimally invasive surgery.
复制标题
初始CT混合征与立体定向微创手术后患者预后不良无关。
DOI：
10.1186/s12883-021-02181-0
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发表时间：
2021-04-15
期刊：
影响因子：
2.6
通讯作者：
Wu G
中科院分区：
文献类型：
--
作者：
Yang X;Zhu Y;Zhang L;Wang L;Mao Y;Li Y;Luo J;Wu G
最初的CT混合征是一种影像学标记，已被用于预测血肿扩大和小容量脑出血（ICH）患者的不良结局。然而，混合征与接受手术的患者的结局之间的关联仍不清楚。本研究旨在回顾性评价初始CT融合征对高血压脑出血患者立体定向微创手术（sMIS）后短期结局的影响。我们招募了242例自发性ICH患者。根据初始CT特征将患者分为混合征组（91例患者）和非混合征（对照）组（151例患者）。采用NIHSS评分、GCS评分和mRS评分评价sMIS的疗效。比较两组严重肺部感染和心脏并发症的发生率。在NIHSS和GCS评分方面，混合征组和对照组之间未观察到统计学显著差异。随访期间，两组患者结局良好的比例无显著差异。在混合征组中观察到较高的再出血率。两组间严重肺部感染和心脏并发症的发生率无显著差异。初始CT混合征与sMIS术后高血压ICH患者的不良结局无关。如果有CT混合征的ICH患者适合手术，则应接受sMIS。
The initial CT blend sign is an imaging marker that has been used to predict haematoma expansion and poor outcomes in patients with small-volume intracerebral haemorrhage (ICH). However, the association of the blend sign with the outcomes of patients undergoing surgery remains unclear. The present study aimed to retrospectively evaluate the influence of the initial CT blend sign on short-term outcomes in patients with hypertensive ICH after stereotactic minimally invasive surgery (sMIS). We enrolled 242 patients with spontaneous ICH. The patients were assigned to the blend sign group (91 patients) or non-blend sign (control) group (151 patients) based on the initial CT features. The NIHSS, GCS and mRS were used to assess the effects of sMIS. The rates of severe pulmonary infection and cardiac complications were also compared between the two groups. Statistically significant differences in the NIHSS and GCS scores were not observed between the blend sign group and the control group. No significant differences in the proportion of patients with good outcomes during the follow-up period were observed between the two groups. A higher rate of re-haemorrhage was noted in the blend sign group. Significant differences in the rates of severe pulmonary infection and cardiac complications were not observed between the two groups. The initial CT blend sign is not associated with poor outcomes in patients with hypertensive ICH after sMIS. ICH patients with the CT blend sign should undergo sMIS if they are suitable candidates for surgery.
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影响因子：
8.2
作者：
Kim JY;Bae HJ
通讯作者：
Bae HJ
脑部出血疏散（Mistie）中微创手术加上高度的安全性和功效：一项随机，控制，开放标签，第2期试验。
影响因子：
48
作者：
Hanley, Daniel F.;Thompson, Richard E.;Muschelli, John;Rosenblum, Michael;McBee, Nichol;Lane, Karen;Bistran-Hall, Amanda J.;Mayo, Steven W.;Keyl, Penelope;Gandhi, Dheeraj;Morgan, Tim C.;Ullman, Natalie;Mould, W. Andrew;Carhuapoma, J. Ricardo;Kase, Carlos;Ziai, Wendy;Thompson, Carol B.;Yenokyan, Gayane;Huang, Emily;Broaddus, William C.;Graham, R. Scott;Aldrich, E. Francois;Dodd, Robert;Wijman, Cristanne;Caron, Jean-Louis;Huang, Judy;Camarata, Paul;Mendelow, A. David;Gregson, Barbara;Janis, Scott;Vespa, Paul;Martin, Neil;Awad, Issam;Zuccarello, Mario
通讯作者：
Zuccarello, Mario
影响因子：
168.9
作者：
Hanley, Daniel F.;Thompson, Richard E.;Awad, Issam A.
通讯作者：
Awad, Issam A.
影响因子：
3.7
作者：
Li Q;Yang WS;Wang XC;Cao D;Zhu D;Lv FJ;Liu Y;Yuan L;Zhang G;Xiong X;Li R;Hu YX;Qin XY;Xie P
通讯作者：
Xie P
影响因子：
1.9
作者：
Yu, Zhiyuan;Zheng, Jun;You, Chao
通讯作者：
You, Chao