[1]郝海龙,唐志高,刘赵东.外伤性硬膜下积液术后复发的相关因素分析[J].中国临床神经外科杂志,2016,(12):753-755.[doi:10.13798/j.issn.1009-153X.2016.12.007]
 HAO Hai-long,TANG Zhi-gao,WANG Hai-liang,et al.Logistic regression analysis of factors related to postoperative recurrence of traumatic subdural effusion[J].,2016,(12):753-755.[doi:10.13798/j.issn.1009-153X.2016.12.007]
点击复制

外伤性硬膜下积液术后复发的相关因素分析()
分享到:

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年12期
页码:
753-755
栏目:
论著
出版日期:
2016-12-25

文章信息/Info

Title:
Logistic regression analysis of factors related to postoperative recurrence of traumatic subdural effusion
文章编号:
1009-153X(2016)12-0753-03
作者:
郝海龙唐志高刘赵东
064200 河北唐山,遵化市第二医院外科(郝海龙,唐志高,刘赵东),内科(王海亮)
Author(s):
HAO Hai-long1 TANG Zhi-gao1 WANG Hai-liang2 LIU Zhao-dong1
1. Department of Surgery, The Second Hospital of Zunhua City, Tangshan 064200, China; 2. Department of Internal Medicine, The Second Hospital of Zunhua City, Tangshan 064200, China
关键词:
颅脑损伤硬膜下积液术后复发危险因素
Keywords:
Subdural effusion Trauma Recurrence Risk factor
分类号:
R 651.1+5; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.12.007
文献标志码:
A
摘要:
目的 探讨外伤性硬膜下积液(TSE)术后复发的危险因素。方法 回顾性分析2011年1月至2015年6月收治的138例TSE的临床资料,采用Logistic回归分析检验术后复发的危险因素。结果 术后复发36例,发生率为26.09%;复发时间为18~92 d,平均(36.2±10.6)d。多因素Logistic回归分析结果显示年龄≥60岁,进展型硬膜下积液以及使用脱水剂是TSE术后复发的独立危险因素(P<0.05)。结论 TSE术后复发率较高,以老年,进展型硬膜下积液,使用脱水剂的患者为多见。
Abstract:
Objective To explore the risk factors relate to postoperative recurrence of traumatic subdural effusion (TSE). Methods The clinical data of 138 patients with TSE treated from January, 2011 to May 2015 were reviewed. The risk factors related to postoperative recurrence of TSE were analyzed by univariate and multivariate logistic regression analysis. Results TSE recurred (36.2±10.6) days (from 18 to 92 days) after the operation in 36 patients. The rate of TSE recurrence rate was 26.09%. The univariate analysis showed that the factors related to postoperative recurrence of TSE included age, thickness of effusion, type of effusion, midline shift, brain contusion hemorrhage and usage of dehydrant (P<0.05). The multivariate logistic regression analysis revealed that the independent risk factors related to postoperative recurrence of TSE included older than 60 years, progressive effusion and usage of dehydrant (P<0.05). Conclusions TSE may easily recur after the operation in the patients who are over 60 years, or suffer from progressive effusion or receive dehydrant treatment.

参考文献/References:

[1] 徐 峰. 外伤性硬膜下积液研究进展[J]. 国际神经病学神 经外科学杂志,2011,38(2):182-185.
[2] 孔祥颜,惠志强,付廷刚. 神经内镜辅助微骨窗手术联合 高压氧治疗复发硬膜下积液临床观察[J]. 山东医药, 2012,52(42):48-49.
[3] Xie D, Xie J, Wan Y, et al. The comparison between surgical procedure and conservative treatment in the management of traumatic subdural effusion [J]. Turk Neurosurg, 2016, 26 (5): 725-731.
[4] 柳荣军,崔兆伟,张吉新. 锥颅引流治疗外伤性硬膜下积 液156例[J]. 中国微侵袭神经外科杂志,2005,10(3): 110.
[5] Yang X, Shen L, Lin QS, et al. A hypothesis of traumatic subdural effusion associated with communicating hydroce- phalus in infants and its management [J]. J Craniofac Surg, 2015, 26(2): 435-437.
[6] 张定平,谭绪云,袁岱军,等. 硬膜下腔-腹腔分流术治疗 复发性硬膜下积液20例[J]. 中华神经外科疾病研究杂 志,2008,7(1):82-83.
[7] 郭振宇,刘重霄,周 任,等. 外伤性硬膜下积液向慢性硬 膜下血肿转化的相关因素探讨[J]. 神经损伤与功能重 建,2016,11(2):122-124.
[8] 丁 昊,邓 琳,陈立珂,等. 硬膜下积液向慢性硬膜下血 肿转化的相关因素分析[J]. 四川医学,2011,32(2):212- 214.
[9] 刘玉光,贾 涛,刘 猛,等. 外伤性硬膜下积液的分型与 临床特点[J]. 中华外科杂志,2003,41(10):763-765.
[10] 李松年,李奋强,韦 刚,等. 外伤性硬膜下积液的治疗 [J]. 中国临床神经外科杂志,2010,15(9):549-550.

相似文献/References:

[1]张善纲 综述.现代战争中颅脑损伤的特点及功能康复[J].中国临床神经外科杂志,2015,(11):701.[doi:10.13798/j.issn.1009-153X.2015.11.021]
[2]钟秀均 黄书岚.复方醒脑液治疗颅脑损伤后综合征的临床观察[J].中国临床神经外科杂志,2016,(05):278.[doi:10.13798/j.issn.1009-153X.2016.05.007]
 ZHONG Xiu-jun,HUANG Shu-lan..Clinical observation on treatment of compound decoction for cerebral prorection for post-traumatic brain syndrome[J].,2016,(12):278.[doi:10.13798/j.issn.1009-153X.2016.05.007]
[3]李国亮 邸 方 杨亚东.香芹酚通过抑制脑水肿与氧化应激反应保护大鼠 颅脑损伤[J].中国临床神经外科杂志,2016,(05):283.[doi:10.13798/j.issn.1009-153X.2016.05.009]
 LI Guo-liang,DI Fang,YANG Ya-dong..Carvacrol protects against traumatic brain injury in rats through suppressing the brain edma and oxidative stress[J].,2016,(12):283.[doi:10.13798/j.issn.1009-153X.2016.05.009]
[4]罗心凯 陈治标 陈谦学.免缝胶原海绵人工硬脑膜在颅脑损伤大骨瓣减压术中的应用[J].中国临床神经外科杂志,2016,(06):357.[doi:10.13798/j.issn.1009-153X.2016.06.012]
 LUO Xin-kai,CHEN Zhi-biao,CHEN Qian-xue..Application of collagen sponge artificial dura without suturing to big bone flap decompression after traumatic brain injury[J].,2016,(12):357.[doi:10.13798/j.issn.1009-153X.2016.06.012]
[5]贺瑛福 肖宗宇 马进海 许常林 裴 杰 袁 岗 张广华  巨 虎.高海拔地区重型颅脑损伤血清FSH、LH、PRL的变化[J].中国临床神经外科杂志,2016,(06):359.[doi:10.13798/j.issn.1009-153X.2016.06.013]
 HE Ying-fu,XIAO Zong-yu,MA Jin-hai,et al.Changes in serum FSH, LH and PRL levels in the patients with severe traumatic brain injury in plateau[J].,2016,(12):359.[doi:10.13798/j.issn.1009-153X.2016.06.013]
[6]满明昊 李立宏 杨彦龙 李 敏 郭少春.颅脑损伤术后细胞免疫指标变化及脾多肽对其影响[J].中国临床神经外科杂志,2016,(06):362.[doi:10.13798/j.issn.1009-153X.2016.06.014]
 MAN Ming-hao,LI Li-hong,YANG Yan-yong,et al.Changes in peripheral cells immunity after operation and effect of spleen polypeptide on them in patients with traumatic brain injury[J].,2016,(12):362.[doi:10.13798/j.issn.1009-153X.2016.06.014]
[7]程 勇 秦加新 戢翰升 李 刚 聂劲林 李 强.颅脑损伤术中急性脑膨出的相关因素分析[J].中国临床神经外科杂志,2016,(06):374.[doi:10.13798/j.issn.1009-153X.2016.06.019]
[8]张一帆 综述 张国来 审校.弥漫性轴索损伤影像学诊断的研究进展[J].中国临床神经外科杂志,2016,(07):442.[doi:10.13798/j.issn.1009-153X.2016.07.020]
[9]陈吉钢 张丹枫 魏嘉良 邹 伟 侯立军.创伤性眶上裂综合征的治疗陈吉钢[J].中国临床神经外科杂志,2016,(04):200.[doi:10.13798/j.issn.1009-153X.2016.04.003]
 CHEN Ji-gang,ZHANG Dan-feng,WEI Jiang-liang,et al.Management of traumatic superior orbital fissure syndrome (report of 22 cases)[J].,2016,(12):200.[doi:10.13798/j.issn.1009-153X.2016.04.003]
[10]娄元华 李小勇 陈红伟 潘栋超 解东成 刘东升.婴儿脑积水分流术后硬膜下积液的临床分析[J].中国临床神经外科杂志,2016,(04):245.[doi:10.13798/j.issn.1009-153X.2016.04.019]
[11]黄志伟 何绍伟 戴先前.颅脑损伤去骨瓣减压术后硬膜下积液的治疗分析[J].中国临床神经外科杂志,2015,(08):501.[doi:10.13798/j.issn.1009-153X.2015.08.022]
[12]孟令文 张永明 裴荣权 邵耐远.外伤性硬膜下积液的小骨窗开颅辅以脑室镜治疗及其发生的危险因素分析[J].中国临床神经外科杂志,2017,(12):849.[doi:10.13798/j.issn.1009-153X.2017.12.017]

更新日期/Last Update: 1900-01-01