慢性硬膜下血肿术后复发的多因素分析 |
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引用本文: | 赵建华,王超,瞿准,朱骏,邱永明.慢性硬膜下血肿术后复发的多因素分析[J].神经疾病与精神卫生,2011,11(2):156-157,160. |
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作者姓名: | 赵建华 王超 瞿准 朱骏 邱永明 |
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作者单位: | 1. 上海市浦东新区公利医院神经外科,200136 2. 上海市仁济医院神经外科 |
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摘 要: | 目的 探讨慢性硬膜下血肿(chronic subdural hematoma,CSDH)术后复发的相关因素.方法 回顾性分析171例CSDH患者的临床资料.结果 本组CSDH患者术后共有18例复发,复发率为10.5%.单因素χ<'2>检验显示CSDH术后复发与年龄、血肿密度、血肿位置、中线移位、Bender分级、脑萎缩分级、引流量和出血倾向相关(P<0.05).与性别、麻醉方式和有无外伤史无关(P>0.05).Logistic多因素分析显示年龄,血肿密度、中线移位、Bender分级、脑萎缩分级和出血倾向为CSDH患者术后复发危险因素(P<0.05).结论 CSDH患者的年龄、血肿密度、中线移位、Bender分级和出血倾向与患者的预后密切相关,应针对复发的高危因素,做好相应的防治工作.
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关 键 词: | 血肿 硬膜 慢性 复发 钻孔引漉术 多因素分析 |
Multivariate analysis of risk factors related to recurrent chronic subdural hematoma |
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Institution: | ZHAO Jian-hua, WANG Chao, QU Zhun, et al. (Department of Neurosurgery, Pudong New Area Public Hospital, Shanghai 200136 ,China) |
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Abstract: | Objective To explore the risk factors related to recurrent chronic subdural hematoma (CSDH). Methods 171 cases with CSDH were retrospectively analyzed. Results 18 cases were recurrent after surgery with a recurrent rate of 10. 5%. Single factor χ2 analysis showed that the recurrence of CSDH was related to age, hematoma density, hematoma location, midline shift, Bender classfication, eneephalatrophy classfieation,drainage amount,and bleeding tendency (P 〈 0.05), regardless of gender, anesthesia mode,and injury history (P 〉 0.05). Age,hematoma density,midline shift,Bender elassfication,encephalatrophy classfication,and bleeding tendency were found to be independently associated with the recurrence of CSDH by Logistic multifactorial analysis (P 〈 0.0.5). Conclusions Patient age, hema- toms density,midline shift,Bender classfieation,encephalatrophy classfication,and bleeding tendency are prognostic factors fpatients for with CSDH. We should pay more attention to the recurrent risk factors, and implement corresponding prevention strategies. |
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Keywords: | Hematoma Suhdural Chronic Recurrence Trepanation and drainage Multi- factorial analysis |
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