预测计算机断层扫描通过超声波测量视神经皮层直径来确定高内压:一项前性观察研究
Kriti Kriti1, Asif Ahmed2, Sujeet Joshi2
1Anaesthesiology, Mandakini Institute of Medical Sciences and Hospital, Aistala, IND.
Cureus
|December 29, 2025
概括
视神经外直径 (ONSD) 的轨道超声波测量有效地预测中度至重度创伤性脑损伤 (TBI) 患者的高内压 (EICP). 这种非侵入性方法有助于重症监护机构,为患者的预后和生存率提供了宝贵的见解.
科学领域:
- 神经科学是一个神经科学.
- 医疗成像医学成像
- 关键护理医学 关键护理医学
背景情况:
- 创伤性脑损伤 (TBI) 带来了重大的短期和长期临床挑战,包括残疾和死亡率.
- 内压升高 (EICP) 是TBI的关键并发症,通常需要侵入性监测.
- 计算机断层扫描 (CT) 用于检测EICP,但寻求非侵入性方法.
研究的目的:
- 评估通过轨道超声波 (US) 测量视神经外直径 (ONSD) 的实用性.
- 评估ONSD在中度至重度TBI患者中预测EICP的能力.
- 为了比较跨轨道美国的发现与CT检测到的EICP.
主要方法:
- 一项前性观察性研究,涉及110名入住重症监护室的中度至重度TBI的成年患者.
- 超轨道超声波测量了ONSD,EICP定义为ONSD≥5.5毫米.
- 对ONSD测量结果与CT扫描检测EICP检测结果的比较.
主要成果:
- CT扫描检测到58%的患者有EICP;69%的患者有增加的ONSD (≥5.5毫米).
- 与CT阴性组相比,CT阳性EICP组 (5.57毫米) 的平均ONSD显著更高 (5.20毫米).
- ONSD测量 (≥5.5毫米) 显示了84%的灵敏度和65%的特异性,用于预测CT确定的EICP. EICP与生存率降低有关.
结论:
- 通过轨道超声波测量ONSD是一种敏感的,非侵入性的工具,用于预测TBI患者的EICP.
- 对EICP的CT证据是中度至重度TBI生存率下降的风险因素.
- ONSD评估为TBI的重症监护机构提供了有价值的预后信息.
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