Related Factors Affecting Hematoma Clearance after Minimally Invasive Catheterization and Drainage in Patients with Hypertensive Intracerebral Hemorrhage
WEI Wen-yuan, BIE Xiao-hua, HAN Chao
Department of Neurosurgery,Honghui Hospital,Xi'an Jiaotong University, Xi'an Shaanxi 710000
Abstract：【Objective】 To explore the relevant factors affecting hematoma clearance after minimally invasive catheterization and drainage surgery in patients with hypertensive cerebral hemorrhage. 【Methods】 A retrospective analysis was conducted on the clinical data of 100 patients with hypertensive cerebral hemorrhage treated with minimally invasive catheterization and drainage in our hospital from January 2016 to January 2022. They were divided into a complete clearance group (n=38) and an incomplete clearance group (n=62) based on their postoperative hematoma clearance. We collected the gender,age,hematoma location,hematoma morphology,original blood volume,surgical puncture location,preoperative Glasgow Coma Scale (GCS) score,injury mechanism,admission to surgery time,blood pressure,platelet count (PLT),and coagulation function indicators of the enrolled patients. ROC analysis of coagulation indicators is used to predict the value of incomplete clearance of hematoma. Logistic multivariate regression analysis was used to identify the risk factors for incomplete clearance of hematoma. 【Results】 In the complete clearance group,the proportion of patients over 60 years old,with irregular hematoma morphology,and a hospital to surgery time of<6 hours were lower than those in the incomplete clearance group. The levels of TT,PT,and APTT were all higher than those in the incomplete clearance group,with statistically significant differences (P<0.05). ROC curve analysis showed that serum TT,PT,and APTT levels can be used for predicting incomplete clearance of hematoma,with areas under the curve of 0.738,0.699,and 0.652,respectively (P<0.05). Logistic multiple factor regression analysis showed that age>60 years old,irregular hematoma morphology,time from admission to surgery<6 hours,TT<15.881 s,PT<9.789 s,APTT<38.477 s were risk factors for hematoma failure (P<0.05). 【Conclusion】 Age,hematoma morphology,time from admission to surgery,and changes in TT,PT,and APTT levels are related to the clearance of hematoma after minimally invasive catheter drainage surgery in patients with hypertensive cerebral hemorrhage,and are risk factors for incomplete clearance of hematoma.
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2023, Vol. 40 
