慢性硬膜下血肿钻孔引流术后复发的高危因素分析

doi:10.3969/j.issn.1671-7171.2019.04.043

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摘要 【目的】探讨影响慢性硬膜下血肿(CSDH)钻孔引流术术后复发的相关因素。【方法】回顾性分析2010～2018年本院收治的357例CSDH临床资料。对其影响CSDH复发的相关危险因素,如性别、年龄、高血压、糖尿病、心脏病、脑血管疾病、抗血小板及抗凝治疗、术前GCS评分、血肿腔IL-6含量、血肿腔纤维蛋白原含量等进行单变量和多变量回归分析。【结果】本组共59例患者CSDH复发,复发率16.53%。单变量和多变量分析发现,双侧CSDH是其患者钻孔引流术术后CSDH复发的独立危险因素。【结论】双侧CSDH是其患者钻孔引流术术后CSDH复发的预测因子,加强手术冲洗过程中的密闭原则,杜绝术后发生颅内积气可有效减少术后CSDH复发。

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	高亚宏
	苏东

关键词 ：血肿, 硬膜下, 慢性/外科学, 引流术/副作用, 危险因素

收稿日期: 2019-01-18

PACS:

R651.155

引用本文:

高亚宏, 苏东. 慢性硬膜下血肿钻孔引流术后复发的高危因素分析[J]. 医学临床研究, 2019, 36(4): 745-747.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.04.043 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I4/745

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