目的 探讨颅脑损伤CT影像特点 及其与预后之间的关系。方法 选取我院 2013年1月-2018年1月收治的颅脑损伤 患者180例，使用西门子16层螺旋CT扫描 仪，调整好平衡状态，计算Rotterdam CT 评分，将患者脑基底池情况分为三个部 分，单独评价每各部分是否受压或开放， 完全闭塞设为三翼均闭塞，部分闭塞为一 或二翼闭塞，三翼都开放。测量每隔室间 孔平面测量宽度的一半减去偏移颅内至透 明隔的长度。结果 预后良好组Rotterdam CT评分、中线移位、基底池情况显著高于 预后不良组(P<0.05)，GOS评分低于预后 不良组(P<0.05)。预后与CT基底池情况的 相关性最强，预后与Rotterdam CT评分、 中线移位的相关性次之。其中预后与CT各 项特征之间均具有显著相关性(P<0.05)。 结论 颅脑损伤CT影像特点与预后相关， 其中预后与CT基底池情况的相关性最强。

Objective To investigate the relationship between the CT image characteristics and prognosis in craniocerebral injury patients. Methods A total of 180 cases of craniocerebral injury treated in our hospital from January 2013 to January 2018 were selected, all patients received the head CT scan and intracranial pressure examination. The CT imaging characteristics and intracranial pressure were recorded, at the same time the Rotterdam CT score and the midline shift were calculated. Results The Rotterdam CT score, midline shift and basal cistern in the good prognosis group were significantly higher than those in the poor prognosis group (P<0.05), and the GOS score was lower than that in the poor prognosis group (P<0.05). The prognosis and CT images were most correlated with basal cistern condition, followed by Rotterdam CT score and midline shift. There was a significant correlation between prognosis and CT characteristics (P<0.05). Conclusion CT imaging features of craniocerebral injury and prognosis are related, and basal cistern has the strongest correlation with prognosis.