TCD与CT检测对脑血管淀粉样变脑出血术后预后评估的临床意义

摘要

To elucidate the clinical factors and the clinical significance of the TCD and CT check in the prognosis of cerebral amyloid angiopathy (CAA) treated surgically. Methods The clinical and follow updata of 27 patients with CAAH were reviewed. We cut the patiants into the good outcome and the bad outcome. Their clinical data were examined and subjected to logistic regression analysis. Results In two group with TCD and CT detection are compared, with statistical significance. Conclusion In 65 years of age or older see; the bleeding site in the brain, the most common top pillow, and has multiple foci, easy to relapse characteristics. TCD and CT detection on severity and prognosis with clinical significance.%目的 探讨脑淀粉样血管病(CAA)相关的脑出血(CAAH)的临床特点及TCD与CT检测对其预后评估的临床意义.方法 对1O年来收治27例CAAH分为预后良好和预后不良组进行临床资料分析.结果 两组患者TCD与CT检测相比较,差异有统计学意叉.结论 CAAH以65岁以上老年人多见;出血部位多在脑叶,其中以顶枕最常见,且有多灶、易复发的特点;TCD与CT检测对病情评估及预后判断具有临床意义.