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慢性硬膜下血肿钻孔引流术后复发的高危因素分析 被引量:6

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摘要 【目的】探讨影响慢性硬膜下血肿(CSDH)钻孔引流术术后复发的相关因素。【方法】回顾性分析2010-2018年本院收治的357例CSDH临床资料。对其影响CSDH复发的相关危险因素,如性别、年龄、高血压、糖尿病、心脏病、脑血管疾病、抗血小板及抗凝治疗、术前GCS评分、血肿腔IL-6含量、血肿腔纤维蛋白原含量等进行单变量和多变量回归分析。【结果】本组共59例患者CSDH复发,复发率16.53%。单变量和多变量分析发现,双侧CSDH是其患者钻孔引流术术后CSDH复发的独立危险因素。【结论】双侧CSDH是其患者钻孔引流术术后CSDH复发的预测因子,加强手术冲洗过程中的密闭原则,杜绝术后发生颅内积气可有效减少术后CSDH复发。
作者 高亚宏 苏东
出处 《医学临床研究》 CAS 2019年第4期745-747,共3页 Journal of Clinical Research
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  • 1Ducruet A F,Grobelny B T, Zacharia B E, Hickman Z L, DeRosa P L, Anderson K, et al. The surgical man- agement of chronic subdural hematoma[J]. Neurosurg Rev,2012,35:155-169.
  • 2Carlsen J G,Cortnum S,Sorensen J C. Recurrence of chro nic suhdural haematomata with and without post-operative drainage[J]. Br J Neurosurg,20l1,25 :388-390.
  • 3Ohba S, Kinoshita Y, Nakagawa T, Murakami H. The risk factors for recurrence of chronic subdural hemato ma[J]. Neurosurg Rev,2013,36 .. 145-149.
  • 4Mori K, Maeda M. Surgical treatment of chronic sub- dural hematoma in 500 consecutive cases: clinical char acteristics, surgical outcome, complications, and recur- rence rate[J]. Neurol Med Chir (Tokyo),2001,41: 371-381.
  • 5Santarius T, Hutchinson P J. Chronic subdural haema- toma: time to rationalize treatment? [J]. Br J Neuro- surg, 2004,18 : 328-332.
  • 6Chon K H,Lee J M,Koh E J,Choi H Y. Independent predictors for recurrence of chronic subdural hematoma [J]. Acta Neurochir (Wien), 2012,154 : 1541-1548.
  • 7Torihashi K, Sadamasa N, Yoshida K, Narumi O, Chin M, Yamagata S. Independent predictors for recurrence of chro- nic subdural hematoma:a review of 343 consecutive surgi- cal cases[J]. Neurosurgery,2008,63 : 1125-1129.
  • 8Santarius T,Kirkpatrick P J,Ganesan D,Chia H L,Jal- loh I, Smielewski P, et al. Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial [J]. Lancet, 2009,374 : 1067-1073.
  • 9Javadi A, Amirjamshidi A, Aran S, Hosseini S H. A randomized controlled trial comparing the outcome of burr-hole irrigation with and without drainage in the treatment of chronic subdural hematoma:a preliminary report[J]. World Neurosurg, 2011,75 (5-6) : 731-736.
  • 10Rohde V, Graf G, Hassler W. Complications of burr- hole craniostomy and closed-system drainage for chron- ic subdural hematomas: a retrospective analysis of 376 patients[J]. Neurosurg Rev, 2002,25 (1-2) : 89 94.

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