CT灌注成像预测及诊断蛛网膜下腔出血后迟发性脑缺血的.PDFVIP

-458- 鈼 璁鸿 钁楄憲 鈼 CT鐏屾敞鎴愬儚棰勬祴鍙婅瘖鏂洓缃戣啘涓嬭厰鍑鸿鍚庤繜鍙戞€ 鑴戠己琛€鐨凪eta鍒嗘瀽 寤栧环娉 鑻忕绂 鐭 浼 銆愭憳瑕併€戠洰鐨勭郴缁熻瘎浠稢T鐏屾敞鎴愬儚锛圕TP锛夊铔涚綉鑶滀笅鑵斿嚭琛€锛圫AH锛夊悗杩熷彂鎬ц剳缂鸿锛圖CI锛夌殑璇婃柇鍙婇娴嬩环鍊笺€傛柟娉曡绠 鏈烘绱ubMed銆丆ochraneDatabase銆丒mbase銆丆NKI鍙婁腑鍥界敓鐗╁尰瀛︽枃鐚簱涓湁鍏矯TP涓嶥CI鍏崇郴鐨勭爺绌躲€備娇鐢≧evMan5.3杞欢 杩涜Meta鍒嗘瀽銆傜粨鏋滃叡绾冲叆10绡囨枃鐚紝鍖呮嫭519渚婼AH銆侻eta鍒嗘瀽缁撴灉鏄剧ず锛孲AH鏃╂湡CTP鐨凜BF銆丆BV銆丮TT銆乀TP涓嶥CI鏃 鏄庢樉鐩稿叧鎬э紙P0.05锛夈€傞珮鍙戞椂闂寸獥鍐匔TP鐨凜BF闄嶄綆銆丮TT澧為珮涓嶥CI鏈夊叧锛圥0.05锛夛紝鑰孋BV銆乀TP涓嶥CI鏃犳樉钁楃浉鍏虫€э紙P 0.05锛夈€傚DCI鐨勮瘖鏂晫鍊硷紝CBF鍦?5~36.3ml/100g/min鑼冨洿鍐呭彉鍖栵紝鑰孧TT鍒欏湪5.0~6.5s鑼冨洿鍐呭彉鍖栥€傜粨璁篊TP鍙敤浜庤瘖鏂€ 涓嶈兘鐢ㄤ簬鏃╂湡棰勬祴SAH鍚嶥CI锛屼絾浠嶉渶鏍囧噯鍖朇TP娴嬮噺鏂规硶鍙婄‘瀹欴CI鐨勬渶浣宠瘖鏂晫鍊笺€ 銆愬叧閿瘝銆戣洓缃戣啘涓嬭厰鍑鸿锛涜繜鍙戞€ц剳鍑鸿锛汣T鐏屾敞鎴愬儚锛涜瘖鏂紱棰勬祴锛汳eta鍒嗘瀽 銆愭枃绔犵紪鍙枫€?009-153X锛?018锛?7-0458-05 銆愭枃鐚爣蹇楃爜銆慉 銆愪腑鍥藉浘涔﹁祫鏂欏垎绫诲彿銆慠743.9 ValueofCTperfusionimagingtopredictionanddiagnosisofdelayedcerebralischemiaaftersubarachnoidhemorrhage:a meta-analysis LIAOTing-quan,SUZu-lu,SHIHui.DepartmentofNeurousurgery,AffiliatedYongchuanHospital,ChongqingMedicalUniveicity, Chongqing632100,China 銆怉bstract銆慜bjective ToevaluatethevalueofCTperfusionimaging(CTP)tothepredictionanddiagnosisofdelayedcerebral ischemia(DCI)aftersubarachnoidhemorrhage(SAH). Methods ThedatabasesincludingPubMed,CocharaneDatabaseofsystematic Rviews,Embase,CNKIandSinoMedweresearchedforstudiesofthevalueofCTPtothepredictionanddiagnosisofDCIafterSAH.A meta-analysiswasperformedbysoftwareRevMan(version5.3). Results Atotalof10studiesincluding519patientswithSAHwere involved.Themeta-analysisshowedthattherewereinsignificantdifferencesincerebralbloodflow(CBF),cerebralbloodvolume(CBV), meantransittime(MTT),andtime-to-peak(TTP)betweenthepatientswithandwithoutDCIafterSAH.IntheDCItime-windowCBF wassignificantlylowerinthepatientswithDCIthanthatinthepatientswithoutDCIafterSAH(MD=-12.75ml/100g/min,95% CI:-15.85~-9.65)andMTTwassignificantlyhigherinthepatientswithDCIthanthatint