目的 分析CT影像学检查评估脑 出血手术患者预后的应用价值。方法 回 顾性分析2011年2月-2014年12月于我院接 受手术治疗的76例脑出血患者的临床资 料，术前所有患者均接受CT检查，所有患 者术后均接受6个月随访调查，且资料完 整，分析CT影像学特点与脑出血手术患者 预后相关性。结果 本组预后良好47例， 预后不良29例；多因素分析证实：出血 量≥30ml、血肿破入脑室、中线移位＞ 10mm、手术方式、手术时机、意识状态、 术后再出血均为影响脑出血患者手术预后 的独立危险因素。结论 脑出血患者术前 作CT筛查，明确影像学特点，对合并危险 因素者早期作手术干预，控制危险因素， 可改善其预后。

Objective To analyze the application value of CT imaging examination in evaluating the prognosis of patients undergoing cerebral hemorrhage operation. Methods The clinical data of 76 patients with cerebral hemorrhage who underwent surgical treatment in our hospital from February 2011 to December 2014 were analyzed retrospectively. All patients underwent CT examination before operation. After operation, all patients were followed up for 6 months and data were complete. The correlation between CT imaging findings and prognosis of patients with cerebral hemorrhage was analyzed. Results There were 47 cases with good prognosis and 29 cases with poor prognosis in the study; Multivariate analysis confirmed that bleeding volume ≥30ml, hematoma broken into ventricle, midline shift > 10mm, operative mode, operative timing, state of consciousness and postoperative rebleeding were independent risk factors affecting the prognosis of patients with cerebral hemorrhage. Conclusion To perform CT screening in patients with cerebral hemorrhage before operation to make clear imaging findings is conductive to early intervention for patients with risk factors and control of risk factors. It can improve the prognosis.