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慢性硬膜下血肿术后复发相关因素分析
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Factors Associated with Postoperative Recurrence of Chronic Subdural Hematoma
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    摘要:

    目的 探讨慢性硬膜下血肿(CSDH)术后复发相关危险因素。方法? 回顾性分析 2016 年 3 月至 2019 年 12 月江苏省泗洪县人民医院收治的 186 例慢性硬膜下血肿患者的临床资料、影像特征、手术方法及术后治疗,应用 SPSS 19.0 软件进行单因素分析和多因素 logistic 回归分析。结果? 手术患者中术后 3 个月 27 例复发,复发率为 14.52%。其中 CT 表现为高密度者复发率 57.14%(8/14),中线移位大于 10 mm 复发率为 25.00%(17/68),而术后服用阿托伐他汀患者复发率 6.25%(5/80)。logistic 回归分析提示中线移位大于 10 mm(P=0.045)和高密度血肿(P=0.001)是 CSDH 复发的独立危险因素。结论? 血肿密度高、中线移位超过 10 mm 是 CSDH 复发的高危因素,而术后口服阿托伐他汀可降低 CSDH 的复发率。

    Abstract:

    Objective To explore the related factors of recurrence of chronic subdual hematoma after neurosurgery.Methods? The clinical data,imaging features,surgical methods and postoperative treatment of 186 patients with chronic subdural hematoma admitted to Sihong County People's Hospital from March 2016 to December 2019 were retrospectively analyzed. Univariate analysis and multivariate logistic regression analysis were performed using SPSS 19.0 software. Results? 27 patients recurred after neurosurgery,and the rate of recurrence was 14.52%.Among them,57.14%(8/14) recurred in those with CT findings of hyperdensity,25.00%(17/68) recurred in those with midline shift greater than 10 mm,and 6.25%(5/80) recurred in those taking atorvastatin postoperatively.Multivariate logistic regression analyses revealed midline shift exceeding 10 mm(P=0.045)and high density hematoma(P=0.001)were independent factors for recurrence of CSDH. Conclusion? Midline displacement and high density hematoma on CT affect theprognosis of CSDH,and additional atorvastatin administration should be recommended after operation.

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  • 在线发布日期: 2021-09-14
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