Objective: To explore the evaluation effect of craniocerebral ultrasound on intracranial condition of severe patients after decompressive craniectomy by the results of craniocerebral ultrasound and CT. Methods: From December 2020 to November 2021, 50 patients who underwent decompressive craniectomy for cerebral hemorrhage, cerebral trauma and cerebral infarction from Baotou Central Hospital and Baotou Eighth Hospital were selected as subjects. At the same time, the bedside craniocerebral ultrasound examination and CT examination were performed to diagnose the complications after decompressive craniectomy. The common data of brain midline structure displacement, intracranial hemorrhage, ventricular changes, subdural effusion and brain tissue edema were collected, and the differences between the two examination results were analyzed. Results: Among the 50 patients, 30 patients had complications, while 25 patients were detected by craniocerebral ultrasound, 5 patients were missed, and the detection rate was 83.33 %; 30 patients were detected by CT examination, the detection rate was 100 %; the chi-square test P＞0.05, suggesting that there was no significant difference in the detection rate between the two methods. The total detection rate of craniocerebral ultrasound for midline structure displacement, intracranial hemorrhage, ventricular changes, and subdural effusion was lower than that of CT, but the difference was not statistically significant (P＞0.05). There was no significant difference between CT and craniocerebral ultrasound in the displacement distance of brain midline structure, the detection rate of ventricular hemorrhage in intracranial hemorrhage, the detection rate of parenchymal hemorrhage, the change of ventricle and the detection rate of subdural effusion (P＞0.05). There was no significant difference in the displacement distance of brain midline structure and the size of hematoma measured by craniocerebral ultrasound and CT (P＞0.05). The hematoma volume was analyzed by Bland-Altman consistency analysis, and the results showed that the difference was not statistically significant (P＞0.05), suggesting that there was a good consistency between the hematoma volume measured by craniocerebral ultrasound and CT. Conclusion: Craniocerebral ultrasonography can effectively evaluate the intracranial imaging of patients after decompressive craniectomy, effectively diagnose postoperative complications, and the results are in good agreement with cranial CT, which is worthy of clinical promotion.
GAO Chunlei
,
SHI Zhanhua
,
ZHAO Hongling
,
SUN Zhigang
,
ZHANG Ercheng
,
KANG Xuhui
,
WANG Ping
. Evaluation effect of craniocerebral ultrasonography on intracranial condition after decompressive craniectomy[J]. Journal of Baotou Medical College, 2023
, 39(12)
: 45
-49
.
DOI: 10.16833/j.cnki.jbmc.2023.12.009
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