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引流时间对慢性硬膜下血肿术后复发的影响 被引量:4

THE INFLUENCE OF DURATION OF DRAINAGE ON POSTOPERATIVE RECURRENCE OF CHRONIC SUBDURAL HEMATOMA
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摘要 目的探讨可能影响硬膜下血肿术后复发的相关因素。方法对236例经钻孔引流手术治疗慢性硬膜下血肿病人的临床资料进行回顾性分析。结果本组复发率为9.15%。术后复发与引流时间有关(χ2=11.519,P<0.01)。引流时间对60岁以上病人术后复发率影响显著(χ2=11.689,P<0.01),而对60岁以下病人无明显影响。结论对老年慢性硬膜下血肿病人,钻孔引流术后的引流时间应延长至3d,而对较为年轻的病人则可早期拔除引流。 Objective To explore the correlated factors that influence postoperative recurrence of chronic subdural hema- toma (CSH). Methods A retrospective review was done in 236 patients unterwent burr-hole drainage for CSH. Results The recurrence rate was 9.15% in this group, which was associated with the duration of drainage, especially for those over 60 years old (X^2 = 11. 519,11. 689;P〈0.01), and for those of the age under 60, no significant correlation was noted. Conclusion For senior CSH patients, postoperative drainage should be extended to three days, for younger patients,the drainage tube may be removed earlier.
出处 《齐鲁医学杂志》 2012年第6期525-527,共3页 Medical Journal of Qilu
关键词 血肿 硬膜下 慢性 引流术 复发 hematoma, subdural drainage recurrence
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