Abstract Objective To analyze the risk factors of traumatic subdural effusion (TSE) transforming into chronic subdural hematoma (CSDH). Methods A totalof75 patients with TSE after traumatic brain injury (TBI) were included from December 2017 to July 2019. CT or MRI reexamination during treatment and follow?up were performed to observe whether CSDH was transformed and relevant influencing factors were analyzed. Univariate and multivariate Logistic regression analyses were performed to screen the risk factors for the transformation of TSE into CSDH. Results Logistic regression analysis showed that the higher effusion density (OR =6.021, 95%CI: 1.047-34.631; P =0.044), subdural effusion increases for a long time (OR = 1.253, 95%CI: 1.002-1.568; P = 0.048), the thicker effusion (OR = 2.080, 95%CI: 1.267-3.414; P =0.004) and brain atrophy (OR =35.392, 95%CI: 1.397-896.474; P =0.031) were risk factors for the transformation of TSE into CSDH. Conclusions The subdural effusion increases for a long time, higher effusion density, thicker effusion and brain atrophy are the risk factors associated with the transformation of TSE into CSDH.
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机译:摘要目的分析慢性软骨血肿(CSDH)转化创伤性脉冲积液(TSE)的危险因素。方法采用创伤性脑损伤(TBI)的ToteOf75患者于2017年12月至2019年7月中纳入。治疗期间的CT或MRI重新审查并进行遵守案,以观察CSDH是否转化,并分析了相关的影响因素。进行单变量和多变量逻辑回归分析,以筛选TSE转化为CSDH的危险因素。结果逻辑回归分析表明,较高的效率密度(或= 6.021,95%CI:1.047-34.631; P = 0.044),硬膜容性积液长时间增加(或= 1.253,95%CI:1.002-1.568; P = 0.048),较厚的积液(或= 2.080,95%CI:1.267-3.414; p = 0.004)和脑萎缩(或= 35.392,95%CI:1.397-896.474; p = 0.031)是转型的风险因素进入CSDH。结论硬膜体积液长时间增加,较高的积分密度,较厚的积液和脑萎缩是与CSDH转化相关的危险因素。
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