慢性 SDH 术后复发和缓解的预测因素

Asian journal of neurosurgery Pub Date : 2025-01-13 eCollection Date: 2025-03-01 DOI:10.1055/s-0044-1796663
Shashin N Vyas, Achal Sharma
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引用次数: 0

摘要

背景:众所周知,慢性硬膜下血肿(SDH)术后复发率很高。我们对100例术后患者进行随访,以确定与复发相关的各种规定因素。材料与方法在我们对100例患者的研究中,SDH的大小、中线移位量、年龄的增加、原发损伤持续时间的缩短以及延迟消退和复发率的增加与SDH有显著的相关性。此外,复发性SDH患者的膜被发现有中性粒细胞、浆细胞、组织细胞和淋巴细胞的集合。结论SDH体积大、年龄增大、近期损伤是延迟消退和复发的重要决定因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Predicting Recurrence and Resolution of Chronic SDH after Surgery.

Background  Chronic subdural hematoma (SDH) is notoriously known to have high recurrence rates after surgery. We followed the course of 100 postoperative patients to determine the various stipulated factors associated with recurrence. Materials and Methods  In our study of 100 patients, there was a significant association with the size of SDH, amount of midline shift, increasing age, less duration of primary injury, and the increasing incidence of delayed resolution and recurrence. Also, the membrane of the patients with recurrent SDH was found to have a collection of neutrophils, plasma cells, histiocytes, and lymphocytes. Conclusion  Large size of SDH, increasing age, and recent injury were significant determining factors for delayed resolution and recurrence.

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