术后引流时间对慢性硬膜下血肿复发的影响  

The effect of postoperative drainage time on recurrence of chronic subdural hematoma

作　　者：周焱峰[1] 高广忠[1] 蒋霖[1] 

机构地区：[1]江苏省泰州市人民医院神经外科,225300

出　　处：《临床合理用药杂志》2017年第28期33-34,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的分析硬膜下血肿复发的术后相关影响因素。方法回顾性分析泰州市人民医院神经外科119例(CSDH)患者的临床资料,比较术中不同部位、术后不同引流时间、术后有无明显体力活动史等患者的复发率。结果119例CSDH患者术后复发11例,复发率为9.24%。不同性别、钻孔部位、术后引流管放置的部位、术后早期残留液、颅内积气和有无出院明显体力活动史患者的复发率比较差异均无统计学意义(P>0.05)。≥60岁患者中,引流时间≥3 d者术后复发率显著低于引流时间<3 d者(P<0.05);而对于<60岁患者中,引流时间≥3 d者与<3 d者术后复发率比较差异无统计学意义(P>0.05)。结论对≥60岁CSDH患者,术后引流的时间应该适当延长,从而减少复发率,而对<60岁以下慢性硬膜下患者术后可早期拔除引流管。Objective To investigate the postoperative recurrence of subdural hematoma.Methods A retrospective analysis of 119 patients with chronic subdural hematoma in the department of neurosurgery in Taizhou People＇ s Hospital,the statistical factors include：the different surgical sites,the time of drainage after operation,the history of physical activity and so on.Results The total recurrence rate was 9.24%.There was no significant difference in recurrence rate between different sex,drilling site,postoperative drainage tube placement,early postoperative residual fluid,intracranial gas accumulation and with or without discharged physical activity history（P0.05）.≥60 years old patients,the rate of drainage time≥3 d after the recurrence was significantly lower than the drainage time 3 d（P0.05）.and for 60 years old patients,the rates was no significant difference between the drainage time≥3 d with 3 d（P0.05）.Conclusion In patients with chronic subdural hematoma over 60 years of age,the time of drainage should be prolonged,so as to reduce the recurrence rate.In patients with chronic subdural cases under 60 years old,the drainage tube can be removed early.

关 键 词：慢性硬膜下血肿 术后引流时间 复发 

分 类 号：R651.1[医药卫生—外科学]