慢性硬膜下血肿患者的临床预后和复发率分析

目的分析慢性硬膜下血肿（CSDH）患者的临床预后及复发率。 方法回顾性分析青岛市西海岸新区人民医院神经外科自2012年6月至2017年12月收治的117例CSDH患者的一般资料、CT表现、血肿量及手术方式，分析其预后复发的情况。 结果本次入组117例患者，平均随访3个月，104例患者预后良好，13例患者复发。单因素分析显示患者年龄、术前CT分型和血肿量差异有统计学意义（P<0.05），手术方式对预后复发的影响差异无统计学意义（P>0.05）；多因素Logistics回归分析进一步发现患者年龄、术前CT影像及血肿量与患者血肿的复发相关。 结论CT分型可作为CSDH手术方式和判断预后的重要指标，根据术前CT征象以及患者的病情选择最优的治疗方案，降低血肿复发率。

Analysis of clinical prognosis and recurrence rate in patients with chronic subdural hematoma

ObjectiveTo analyze the clinical prognosis and recurrence rate in patients with chronic subdural hematoma (CSDH). MethodsRetrospect the clinical data of 117 CSDH patients in the Department of Neurosurgery, People’s Hospital of the Qingdao West Coast New Area from June 2012 to December 2017, according to the general information, CT findings, hematoma size and operative methods to analyze the prognostic factors of CSDH. ResultsIn this study, 117 patients were followed up for 3 months on average and 13 patients’ hematoma recurred. Univariate analysis showed that there was significant difference in age, preoperative CT classification and hematoma volume (P<0.05), but no significant difference in surgery (P>0.05), Multivariate Logistics regression analysis showed that age, preoperative CT imaging and hematoma volume were associated with recurrence of hematoma. ConclusionCT typing can be used as an important indicator of CSDH operation and prognosis. The recurrence rate of hematoma is reduced according to the preoperative CT signs and the optimal treatment plan of the patients’ condition.