外伤性硬膜下积液在向慢性硬膜下血肿转化过程中的相关因素配对回归分析  

A paired regression analysis of the factors in the transformation process of traumatic subdural effusion into chronic subdural hematoma

作　　者：李宽正 徐建军 徐书源 钟方正 曹始波 

机构地区：[1]江苏兴化市人民医院神经外科,225700

出　　处：《临床神经外科杂志》2012年第6期324-326,共3页Journal of Clinical Neurosurgery

摘　　要：目的回顾性研究外伤性硬膜下积液向慢性硬膜下血肿(CSDH)转化过程中相关因素的影响。方法对22例慢性硬膜下血肿中明确有外伤性硬膜下积液(TSE)的患者根据性别、年龄、职业配对单纯外伤性硬膜下积液的患者(1:2配对,共44例)。多因素回归分析外伤性硬膜下积液转化为慢性硬膜下血肿组与单纯外伤性硬膜下积液组间在硬膜下积液CT值、积液部位、积液体积、凝血功能4种相关因素间有无差异。结果外伤性硬膜下积液转化为慢性硬膜下血肿组与单纯外伤性硬膜下积液组间患者的伤后硬膜下积液CT值、积液部位间差异存在统计学意义。结论外伤性硬膜下积液存在向慢性硬膜下血肿转化的趋势,患者硬膜下积液的CT值相对较高、积液位于额颞部患者这一趋势尤为明显。Objective To study the relevant factors in the transformation process from traumatic subdural effusion into chronic subdural hematoma （CSDH）. Methods 22 patient of CSDH with traumatic subdural effusion （TSE） were paired by 44 with simple TSE according to gender, age and profession. Multivariate logistic regression was analyzed on subdural effusion in CT values, effusion site, effusion volume and coagulation factors, between the chronic subdural hematoma with traumatic subdural effusion group and the simple traumatic subdural effusion group. Results There were significant differences of the CT values and the effusion site between the group of CSDH with TSE and the simple TSE group. Conclusion TSE exists of conversion to CSDH. The trend is particularly clear in TSE patients with higher subdural effusion CT value or frontotemporal effusion site.

关 键 词：外伤性硬脑膜下积液 慢性硬脑膜下血肿 回归分析 

分 类 号：R651.1[医药卫生—外科学]