YL-1型碎吸针治疗慢性硬膜下血肿疗效分析（附186例报告）  

Effects of YL-1 needle in treatment with chronic subdural hematoma(186 cases reports)

作　　者：陈养川 吴仰宗 徐云峰 陈源锋 范志泉[1] 陈小鑫[1] 钱水清[1] 

机构地区：[1]福建省龙岩市第二医院,龙岩364000 [2]浙江省嘉兴市第一医院神经

出　　处：《浙江创伤外科》2019年第6期1097-1100,共4页Zhejiang Journal of Traumatic Surgery

基　　金：福建省龙岩市科技计划项目(2019LYF12009)

摘　　要：目的探讨YL-1型碎吸针治疗慢性硬膜下血肿的疗效和术后复发的影响因素。方法回顾性分析186例采用YL-1型碎吸针治疗慢性硬膜下血肿病人的手术效果,并分析年龄、性别、血肿量、血肿厚度、单双侧出血、凝血功能、Markwalder’s评分、血肿清除率和术后是否口服阿托伐他汀与术后复发的相关性。结果术后随访半年到1年,治愈163例,复发23例,效果较好,单因素分析显示高龄、血肿量大、双侧出血、凝血功能异常、Markwalder’s评分较高、血肿清除率与术后复发相关(P<0.05);多因素Logistic回归分析显示年龄、血肿量和血肿厚度与术后复发相关(P<0.05)。结论 YL-1型碎吸针治疗慢性硬膜下血肿效果好,术后血肿复发与年龄、血肿量、和血肿厚度相关。Objective To study the effect of YL-1 needle in treatment with chronic subdural hematoma and the risk factors of recurrence.Methods 186 cases of patients with YL-1 needle puncture treatment admitted and treated in our hospital. The correlations of age, gender,hematoma volume, hematoma thickness,single or bilateral hematoma,blood coagulation function,hematoma clearance rate and Markwalder`s grade to post-operative recurrence were evaluated statistically. Results During a follow-up period of half year to 1 years,163 patients were cured,23 patients were recurrent. The Univariate statistical analysis showed that the patients with the eld, hematoma volume, bilateral hematoma,abnormal blood coagulation function, hematoma clearance rate <50%and high Markwalder's grade were easily recurrent.Multi-variate Logistic regression analysis showed that age,hematoma volume and bilateral hematomawere independent predictors for recurrence. Conclusion The surgical outcome of YL-1 needle in treatment with chronic subdural hematoma is favorable.Age,hematoma volume and bilateral hematoma were significantly with recurrence.

关 键 词：YL-1型碎吸针 慢性硬膜下血肿 疗效 复发 

分 类 号：R651.1[医药卫生—外科学]