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预测慢性硬膜下血肿术后复发及消散的因素

Factors Predicting Recurrence and Resolution of Chronic SDH after Surgery.

作者信息

Vyas Shashin N, Sharma Achal

机构信息

Department of Neurosurgery, Sawai Man Singh Hospital, Jaipur, Rajasthan, India.

出版信息

Asian J Neurosurg. 2025 Jan 13;20(1):112-118. doi: 10.1055/s-0044-1796663. eCollection 2025 Mar.

DOI:10.1055/s-0044-1796663
PMID:40041592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11875717/
Abstract

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.  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.  Large size of SDH, increasing age, and recent injury were significant determining factors for delayed resolution and recurrence.

摘要

慢性硬膜下血肿（SDH）术后复发率高是出了名的。我们对100例术后患者进行了跟踪，以确定与复发相关的各种规定因素。在我们对100例患者的研究中，SDH的大小、中线移位量、年龄增长、原发性损伤持续时间较短以及延迟消退和复发的发生率增加之间存在显著关联。此外，复发性SDH患者的膜中发现有中性粒细胞、浆细胞、组织细胞和淋巴细胞聚集。SDH体积大、年龄增长和近期损伤是延迟消退和复发的重要决定因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/db082a3c8d7f/10-1055-s-0044-1796663-i23100011-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/3bde6153cb8e/10-1055-s-0044-1796663-i23100011-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/1735cd83447a/10-1055-s-0044-1796663-i23100011-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/7db3973925c0/10-1055-s-0044-1796663-i23100011-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/d1deb5711434/10-1055-s-0044-1796663-i23100011-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/9df4bdc4ed54/10-1055-s-0044-1796663-i23100011-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/27477e41eb50/10-1055-s-0044-1796663-i23100011-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/1b4f8542e2f1/10-1055-s-0044-1796663-i23100011-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/db082a3c8d7f/10-1055-s-0044-1796663-i23100011-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/3bde6153cb8e/10-1055-s-0044-1796663-i23100011-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/1735cd83447a/10-1055-s-0044-1796663-i23100011-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/7db3973925c0/10-1055-s-0044-1796663-i23100011-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/d1deb5711434/10-1055-s-0044-1796663-i23100011-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/9df4bdc4ed54/10-1055-s-0044-1796663-i23100011-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/27477e41eb50/10-1055-s-0044-1796663-i23100011-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/1b4f8542e2f1/10-1055-s-0044-1796663-i23100011-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11875717/db082a3c8d7f/10-1055-s-0044-1796663-i23100011-8.jpg

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本文引用的文献

1
Surgical Treatment of Chronic Subdural Hematoma: Predicting Recurrence and Cure.慢性硬脑膜下血肿的手术治疗：预测复发和治愈。
World Neurosurg. 2019 Aug;128:e1010-e1023. doi: 10.1016/j.wneu.2019.05.063. Epub 2019 May 16.
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Eosinophils: The unsung heroes in cancer?嗜酸性粒细胞：癌症中被忽视的英雄？
Oncoimmunology. 2017 Nov 13;7(2):e1393134. doi: 10.1080/2162402X.2017.1393134. eCollection 2018.
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Pathophysiology of chronic subdural haematoma: inflammation, angiogenesis and implications for pharmacotherapy.慢性硬膜下血肿的病理生理学：炎症、血管生成及药物治疗的意义
J Neuroinflammation. 2017 May 30;14(1):108. doi: 10.1186/s12974-017-0881-y.
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A Reliable Grading System for Prediction of Chronic Subdural Hematoma Recurrence Requiring Reoperation After Initial Burr-Hole Surgery.一种可靠的分级系统，用于预测初始颅骨钻孔手术后需要再次手术的慢性硬脑膜下血肿复发。
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J Neurotrauma. 2014 Aug 15;31(16):1451-6. doi: 10.1089/neu.2013.3195.
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