目的 探讨影响慢性硬膜下血肿(CSDH)预后的相关危险因素及其防治方法.方法 对2008年1月至2011年1月我院收治的214例CSDH患者的临床资料进行回顾性分析,收集患者的一般情况、临床症状、影像学表现、治疗方法、预后等资料进行统计学分析.结果 214例患者中康复者193例(89.72％),预后不良者22例(10.28％);男性188例(87.85％),女性26例(12.15％).单因素分析显示两组在性别,年龄,凝血功能,血肿位置,血肿量,入院时Markwalder’分级,头晕/头昏,双下肢乏力方面差异有显著性意义.多因素Logistic回归分析显示,影响CSDH预后的因素有性别,年龄,凝血功能,血肿位置,入院时Markwalder’分级.结论 影响CSDH预后的因素较复杂,根据患者的不同病情采取适当的治疗方法可降低血肿复发率.%Objective To clarify the prognostic factors and the treatment of chronic subdural hematoma (CSDH). Methods The clinical data of 214 patients with CSDH in our hospital from January 2008 to January 2011 were collected were analyzed trospectively, aaand the general characteristics, clinical symptoms, CT findings, treatment and prognosis, etc were also analyzed statistically. Results Retrospective analysis was performed for good prognosis group(n = 193) and poor prognosis group (n =22). There were significant differences in gender, age, coagulation function, hematoma position, hematoma size, initial Markwalder' s class, dizziness, double lower limbs weakness between two groups. Logistic regression analysis showed that CSDH prognostic factors were gender, age, coagulation function, hematoma position, initial Markwalder' s class and dizziness. Conclusions The causative factors of CSDH are more complex. Proper treatment according to the different symptoms in patients can reduce the recurrent rate of hematoma.
展开▼
