慢性硬膜下血肿术后复发因素分析及防治探讨

目的：探讨慢性硬膜下血肿（chronic subdural hematoma,CSDH）钻孔冲洗引流术后的复发因素。方法：回顾性分析165例CSDH钻孔冲洗＋闭式引流术的治疗效果,并结合患者年龄、术后引流量、血肿腔是否有间隔、血肿厚度、引流管安放方向等因素进行相关分析。结果：本组治愈151例,血肿复发14例。结论：患者年龄、术后引流量、血肿腔是否有间隔、血肿厚度、引流管安放方向是影响复发的主要因素。

Analysis on the Related Factors of Recurrence of Chronic Subdual Hematoma after Neurosurgery

Objective：To explore the related factors of recurrence of chronic subdural hematoma after burr hole drainage.Methods：The related aspects that affected the recurrence in 165 cases with chronic subdural hematomas after burr hole drainage were reviewed,and patient＇s age,drainage volume,thickness of hematoma,septal hematoma cavity and direction of drain pipe were evaluated.Results：Clinical outcomes were satisfactory.151 patients completely recovered after burr hole drainage,there were 14 patients with hematoma recurrence.Conclusion：Age,drainage volume, thickness of hematoma,septal hematoma cavity and direction of drain pipe would affect the prognosis.