Analysis of risk factors for postoperative recurrence of chronic subdural hematoma
10.3760/cma.j.issn.1001-8050.2012.05.010
- VernacularTitle:慢性硬膜下血肿术后复发相关因素分析
- Author:
Shaobo SU
;
Jianning ZHANG
- Publication Type:Journal Article
- Keywords:
Hematoma,subdural,chronic;
Risk factors;
Recurrence
- From:
Chinese Journal of Trauma
2012;28(5):422-425
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the clinical epidemiologic characteristics of chronic subdural hematoma and risk factors for its recurrence so as to offer scientific basis for treatment and prognostic evaluation. MethodsA retrospective study was done on clinical data of 150 adults with chronic subdural hematoma from the Traumatic Brain Injury Database of Neurosurgery Department of General Hospital of Tianjin Medical University to analyze the clinical characteristics and the postoperative recurrence factors of the chronic subdural hematoma.ResultsHematoma volume of the patients in the recurrence group was more than that in the non-recurrence group.Age ＞ 80 years and brain atrophy were two independent risk factors for postoperative recurrence of the chronic subdural hematoma.The recurrence rate was declined with the decrease of hematoma density on CT.The recurrence rate of the chronic subdural hematoma in the high-density group was significantly higher than that in the low-and iso-density groups. ConclusionsPreoperative hematoma volume,onset age,brain atrophy and hematoma density on CT are significantly correlated with the postoperative recurrence of the chronic subdural hematoma.A detailed clinical and radiological evaluation is of great importance for the treatment and prognostic evaluation of the chronic subdural hematoma.
