摘要目的探讨可能导致慢性硬膜下血肿(CSDH)复发的危险因素.方法回顾性分析慢性硬膜下血肿手术患者120例,对性别、年龄、高血压、糖尿病、心脏病、抗血小板治疗和双侧血肿与CSDH复发之间的关系进行统计分析.结果 28例患者复发,统计学分析显示双侧CSDH和糖尿病是CSDH复发的独立危险因素.结论双侧CSDH和糖尿病是CSDH复发的独立危险因素,临床上收治此类患者需要保持高度警惕,术后对患者的密切观察并及时复查CT有助于及时准确地治疗患者.

abstractsObjective To explore the risk factors leading to recurrence of chronic subdural hematoma (CSDH). Methods 120 surgical eases of CSDH were retrospectively reviewed. Statistical analyses were per-formed to describe the relationships between recurrence of CSDH and factors such as sex, age, hypertension, dia-betes mellitus,heart disease, antiplatelet therapy and bilateral CSDH. Results 28 eases experienced a recur-rence of CSDH. Statistical analyses found that bilateral CSDH and dabetes mellitus were independent risk factors for the recurrence of CSDH. Conclusion Bilateral and diabetes mellitus are independent predictors for the re-currence of CSDH. These patients must be clinically to keep alert. Close observation on the postoperative patients and reviewing CT timely could be helpful to the treatment of CSDH.