轻型颅脑损伤后硬膜下积液演变为慢性硬膜下血肿的影响因素分析  

The factors associated with transformation from subdural effusion of mild traumatic brain to chronic subdural hematoma

作　　者：吴仰宗 徐云峰 林堃[3] 林元相[4] 赖蓉萱 潘金万 陈养川 温铖彩 吴松[1] 李强 陈小鑫[1] 钱水清[1] 范志泉[1] 陈源锋[1] WU Yangzong;XU Yunfeng;LIN Kun;LIN Yuanxiang;LAI Ronxuan;PAN Jinwan;CHEN Yangchuan;WEN Chengcai;WU Song;LI Qiang;CHEN Xiaoxin;QIAN Shuiqing;FAN Zhiquan;CHEN Yuanfeng(The Second Hospital of Longyan,Longyan 364000,China;The First Hospital of Jiaxing,Jiaxing 314000,China;Fujian Provincial South Hospital,Fuzhou 350001,China;The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]龙岩市第二医院,福建龙岩364000 [2]嘉兴市第一医院,浙江嘉兴314000 [3]福建省立医院南院,福建福州350005 [4]福建医科大学附属第一医院,福建福州350005

出　　处：《中国实用神经疾病杂志》2021年第9期775-780,共6页Chinese Journal of Practical Nervous Diseases

基　　金：福建省龙岩市科技计划项目(编号:2019LYF12009)。

摘　　要：目的探讨轻型颅脑损伤后硬膜下积液演变为慢性硬膜下血肿的影响因素。方法选取2014-01—2020-01龙岩市第二医院和嘉兴市第一医院收治的具有完整资料的轻型颅脑损伤后所致硬膜下积液患者249例为研究对象,采用单因素和多因素Logistic回归分析其硬膜下积液演变为慢性硬膜下血肿的相关影响因素。结果249例硬膜下积液患者中53例演变为慢性硬膜下血肿为血肿组,余196例未演变为血肿为非血肿组,单因素分析显示2组男性、硬膜下积液厚度、积液CT值和积液位于额颞部差异有统计学意义(P<0.05);多因素Logistic回归分析显示,男性、硬膜下积液越厚、积液CT值高和积液位于额颞部是积液演变为慢性硬膜下血肿的高危因素。结论男性、积液厚度、积液CT值和积液位于额颞部可能是轻型颅脑损伤后硬膜下积液演变为慢性硬膜下血肿的相关影响因素。Objective To explore the factors which may be associated with transformation from subdural effusion of mild trau⁃matic brain to chronic subdural hematoma.Methods The clinical data of 249 cases with subdural effusion of mild traumatic brain from January 2014 to January 2020 admitted to The Second Hospital of Longyan and The First Hospital of Jiaxing.The factors which may influence the transformation from subdural effusion to chronic subdural hematoma was analyzed by single factor analysis and Lo⁃gistic muti-factors factor analysis.Results Totally 53 cases were transformed into chronic subdural hematoma(hematoma group),196 cases without chronic subdural hematoma(non-hematoma group).Single factors analysis showed that in the hematoma group,male,the thickness of effusion,the CT value of effusion and frontal temporal effusion were evident when compared to those in the non-hematoma group(P<0.05).Logistic muti-factors analysis showed that male,thicker effusion,higher CT value of effusion and Frontal temporal effusion were easily evolved into chronic subdural hematoma.Conclusion male,thicker effusion,higher CT value of effusion and Frontal temporal effusion,are the factors associated with the transformation from subdural effusion to hematoma.

关 键 词：轻型颅脑损伤 硬膜下积液 慢性硬膜下血肿 演变 影响因素 

分 类 号：R651.15[医药卫生—外科学]