慢性硬膜下血肿钻孔引流术后复发因素分析  

Analysis of recurrence factors after borehole drainage for chronic subdural hematoma

作　　者：杨扬 刘昊 王福林[1] 何二平 YANG Yang;LIU Hao;WANG Fulin;HE Erping(Department of Neurosurgery,Huai′an Tumor Hospital in Jiangsu Province,Huai′an,Jiangsu,223200)

机构地区：[1]江苏省淮安市肿瘤医院神经外科,江苏淮安223200

出　　处：《实用临床医药杂志》2020年第22期73-75,共3页Journal of Clinical Medicine in Practice

基　　金：江苏省淮安市自然科学研究计划项目(HAB201947)。

摘　　要：目的观察慢性硬膜下血肿(CSDH)钻孔引流术后复发情况并分析复发因素。方法回顾性分析120例CSDH患者的临床资料,所有患者术后均随访超过3个月,观察复发情况并分析复发因素。结果120例患者术后中位随访时间9个月,其中16例(13.33%)复发并再次接受手术。复发与未复发患者在术前应用抗凝药、血肿密度、术前中线移位、血肿类型、术后引流量方面比较,差异均有统计学意义(P<0.05或P<0.01)。结论钻孔引流术可有效治疗CSDH,但术后复发率较高,临床应早期识别血肿复发的高危群体,以开展针对性的干预。Objective To observe the recurrence of chronic subdural hematoma(CSDH)after trepanation and drainage and analyze the recurrence factors.Methods Clinical data of 120 patients with CSDH was analyzed retrospectively.All patients were followed up for more than 3 months after surgery to observe relapse condition and analyze relapse factors.Results The median follow-up time of 120 patients was 9 months after surgery,and 16(13.33%)of them relapsed and all underwent surgery again.There were statistically significant differences in preoperative anticoagulant application,hematoma density,preoperative midline shift,hematoma type,and postoperative drainage volume between patients with and those without recurrence(P<0.05).Conclusion Trepanation and drainage can effectively treat CSDH,but the postoperative recurrence rate is relatively high.The high-risk groups of hematoma recurrence should be identified early to carry out targeted intervention.

关 键 词：慢性硬膜下血肿 钻孔引流术 抗凝药 血肿密度 分隔性硬膜下血肿 中线移位 

分 类 号：R743[医药卫生—神经病学与精神病学]