| 摘要: |
| 目的 探讨多种潜在的高危因素对慢性硬膜下血肿术后复发的影响。方法 回顾性分析我院采用钻孔血肿冲洗术治疗的115例慢性硬膜下血肿患者的临床资料，对可能影响慢性硬膜下血肿的因素进行分析，如年龄、性别、术前GCS评分、血小板、高血压、糖尿病、术后是否进行闭式引流、术中冲洗液所见。对以上因素与慢性硬膜下血肿的复发进行多因素分析。结果 11例患者术后复发，复发率为9.6%。血肿腔冲洗液中有血凝块及絮状物和糖尿病是慢性硬膜下血肿术后复发的危险因素(P<0.05)，而年龄、性别、术前GCS评分、血小板、高血压等没有明确的证据显示其与血肿的术后复发相关。 结论 血肿腔冲洗液中有血凝块及絮状物是慢性硬膜下血肿复发的危险因素，而是否有糖尿病也与慢性硬膜下血肿术后的复发相关。 |
| 关键词: 慢性硬膜下血肿 钻孔血肿冲洗术 复发 危险因素 |
| DOI：10.3724/SP.J.1008.2013.00687 |
| 投稿时间：2012-10-10修订日期：2013-01-02 |
| 基金项目: |
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| Recurrence of chronic subdural hematoma after surgery: an analysis of risk factors |
| YIN Yi-ming,LUO Cheng |
(Department of Neurosurgery, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215001, Jiangsu, China
*Corresponding author.) |
| Abstract: |
| Objective To determine the risk factors contributing to the recurrence of chronic subdural hematoma(CSDH). Methods The clinical data of 115 CSDH patients who received burr-hole irrigation in our hospital were retrospectively analyzed. Univariatie and multivarite analyses were performed to describe the relationships between CSDH recurrence and possible risk factors, including age, sex, Glasgrow Coma Scale (GCS) score, hepertension, diabetes mellitus (DM), with or without post-operative drainage, and observations of hematoma douche fluid. Results Recurrence of hematoma was found in 11 patients (9.6%). Two variables were found to be independently associated with the recurrence of CSDH: diabetes mellitus and blood clot and floc in hematoma douche fluid (P<0.05). The other variables were not found to be significantly correlated with recurrence of CSDH. Conclusion Presence of blood clot and floc in hematoma douche fluid is a risk factor of CSDH recurrence, and history of DM is also closely related to post-operation CSDH recurrence. |
| Key words: chronic subdural hematoma burr-hole irrigation recurrence risk factors |
