硬膜下积液向慢性硬膜下血肿转化的相关因素分析

The correlation factors analysis of transformation from subdural collection of fluid to chronic subdural hematoma

目的探讨硬膜下积液与慢性硬膜下血肿的关系以及影响硬膜下积液向慢性硬膜下血肿转化的相关因素。方法对62例硬膜下积液患者进行连续随访,根据随访结果分为形成慢性硬膜下血肿组与未形成血肿组,回顾分析两组间在年龄、伤后GCS评分、硬膜下积液厚度、硬膜下积液CT值等因素间有无差异。结果形成慢性硬膜下血肿组患者与未形成血肿组患者的伤后硬膜下积液厚度与积液CT值间差异存在统计学意义。结论硬膜下积液存在向慢性硬膜下血肿转化的趋势,对于CT检查发现硬膜下积液相对较厚、CT值相对较高患者这一趋势尤为明显。

Objective To investigate the relationship between subdural collection of fluid and chronic subdural hematoma and the correlation factors of transformation.Methods 62 patients of subdural collection of fluid were included and followed up consecutively,according to the outcomes of follow-up,were divided into group with chronic subdural hematoma and group without chronic subdural hematoma ,the difference of age ,score of GCS,thickness and computerized tomographynumber of subdural collection of fluid after trauma were compared between the two groups.Results There were obvious difference of thickness and computerized tomographynumber of subdural collection of fluid between the two groups .Conclusion There was a trend of transformation from subdural collection of fluid to chronic subdural hematoma,especially in these with relatively thicker thickness and higher tomographynumber of subdural collection of fluid.