慢性硬膜下血肿钻孔冲洗术后复发因素分析

Analysis of recurrence factors in patients with chronic subdural hematoma after burr hole irrigation and drainage

目的探讨慢性硬膜下血肿钻孔术后复发的临床影响因素。方法回顾我科收治的218例慢性硬膜下钻孔手术病例,收集相关资料,建立EXCEL表格并完成相关分析,找出有统计学意义的影响因素。结果血肿厚度、有无分隔或脑萎缩、术后中线移位程度、手术前后中线变化值、术后积气程度及术后是否放置引流管6种因素是导致复发的原因,具有统计学意义。结论针对慢性硬膜下病人应采用个体化、综合化治疗方案,加强围手术期管理,提高手术疗效。

Objective To study the recurrence factors in patients with chronic subdural hematoma （CSDH） after burr hole irrigation and drainage .Method The clinical data of 218 patients with chronic subdural hematoma （ CSDH） after burr hole irrigation and drainage in our department were analyzed retrospectively , the related data were collected and EXcellspreadsheet were build in order to find out the related factors of statistical significance .Result The factors included hematoma thickness ,diaphragm and encephala trophy ,medium line shift after operation ,the change of medium line shift before and after operation ,intracranial pneumatosis ,have drainage or not after operation were the reasons to recurrence .Conclusion The treatment of CSDH should be done individually and comprehensively ,the six factors of statistical significance should be paid attention to us .