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预测慢性腹腔内血瘤在孔排水后复发的因素:一项回顾性研究

Gi Jeong Jeon¹, Hyun Taek Rim¹, Heui Seung Lee¹

¹Department of Neurosurgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, 22, Gwanpyeong-Ro 170Beon-Gil, Dongan-Gu, Anyang-Si, Gyeonggi-Do, 14068, Republic of Korea.

Neurosurgical review

|November 20, 2023

概括

男性性别,双侧血瘤,层状血瘤类型,手术后大量的残留血瘤体积,以及手术前高血糖水平是手术后慢性体内血瘤复发的关键预测因素. 建议对术后进行密切监测.

科学领域:

神经外科神经外科
神经学神经学
放射学放射学是一门学科.

背景情况:

慢性亚皮血瘤 (SDH) 是一种常见的神经外科疾病.
孔三化是SDH的标准手术治疗方法.
由于研究结果不一致,预测手术后SDH复发仍然具有挑战性.

研究的目的:

确定手术治疗患者慢性SDH复发的独立预测因素.
提供对临床和放射学预测因素的全面分析.
改进SDH的患者管理策略.

主要方法:

对578名因慢性SDH (2008-2021) 而接受单孔手术的患者进行了回顾性分析.
复发和没有复发的患者之间的临床和放射学因素的比较.
使用了单变量和多变量逻辑回归分析.

主要成果:

在6个月内,531个半球中有10.17%的半球出现了复发.
复发的独立预测因素包括男性性别,双侧血瘤,层状血瘤类型,术后残留血瘤>30厘米3,以及手术前血糖≥150毫克/分升.
对于每个因素,报告了显著调整的几率比率 (aOR) 和95%置信区间 (CI).

结论:

男性性别,双边SDH,层状类型,大残留血瘤和高手术前葡萄糖预测复发.
这些发现有助于识别高风险患者,以便进行更密切的术后监测.
有针对性的监测可以帮助有效地检测和管理复发性慢性SDH.

关键词:

孔排水系统的排水.慢性腹膜下血腫慢性腹膜下血腫预测因素是一个预测因素.复发情况复发情况

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