文章摘要
李娟 ，汤翔宇 ，连立飞 ，熊颖 ，朱文珍.幕上自发性脑出血微创血肿抽吸引流术后6个月预后影响因素研究[J].神经损伤功能重建,2021,16(2):79-82
幕上自发性脑出血微创血肿抽吸引流术后6个月预后影响因素研究
Investigation of Predicting Factors of 6-Month Prognosis of Minimally Invasive HematomaEvacuation Surgery in Spontaneous Supratentorial Intracerebral Hemorrhage
  
DOI：
中文关键词: 脑出血  微创血肿清除术  预后  影响因素  漩涡征
英文关键词: intracerebral hemorrhage  minimally invasive hematoma evacuation  prognosis  predicting factors  swirl sign
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作者单位
李娟a ，汤翔宇a ，连立飞b ，熊颖a ，朱文珍a 华中科技大学同 济医学院附属同 济医院a.放射科， b.神经内科 
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中文摘要:
      目的：探讨幕上自发性脑出血微创血肿抽吸引流术后6个月预后的相关因素。方法：回顾性收集2012 年7月至2013年12月在我院就诊的接受微创颅内血肿抽吸引流术的幕上自发性脑出血患者。收集分析患 者临床资料、影像学资料及随访6个月时的改良Rankin量表（mRS）评分。将mRS评分 0～3分定义为预后 良好，mRS评分4～5分定义为预后不良。用多因素Logistic回归分析幕上自发性脑出血微创血肿抽吸引流 术后6个月预后的影响因素。结果：75例患者纳入本研究，根据随访6个月时的mRS评分，分为预后良好组 47例和预后不良组28例。与预后良好组比较，预后不良组入院GCS评分较低，入院NIHSS评分较高，基线 平扫CT旋涡征(+)和岛征(+)的患者比例较高（均P＜0.05）。多因素Logistic回归分析显示入院GCS评分和 漩涡征(+)是微创血肿抽吸引流术后6个月预后的独立影响因素。结论：入院GCS评分及基线CT漩涡征(+) 可能是幕上自发性脑出血微创血肿抽吸引流术后6个月预后的独立影响因素。
英文摘要:
      To investigate the predicting factors associated with the 6-month prognosis of spontaneous supratentorial intracerebral hemorrhage (ICH) after minimally invasive intracranial hematoma suction drainage surgery (MIS). Methods: Patients with ICH who underwent MIS in our hospital from July 2012 to December 2013 were retrospectively collected. Patients’clinical data, imaging data, and 6-month modified Rankin Scale (mRS) scores were recorded. An mRS score of 0 to 3 was defined as good prognosis, and a score of 4 to 5 was defined as poor prognosis. Multivariate logistic regression analysis was used to evaluate the predicting factors associated with 6-month prognosis after surgery. Results: A total of 75 patients were enrolled in this study; based on the mRS scores at the 6-month follow-up, 47 patients were placed in the good prognosis group and 28 in the poor prognosis group. Compared with those in the good prognosis group, patients in the poor prognosis group tended to have a lower GCS score and a higher NIHSS score at admission and more likely presented with the“swirl sign”and“island sign”on baseline CT images (all P<0.05). Multivariate logistic regression analysis showed that admission GCS score and being baseline CT swirl sign-positive were independent predicting factors of 6-month prognosis after MIS. Conclusion: Admission GCS score and being baseline CT swirl sign-positive are independent predictors for 6-month prognosis of ICH patients after MIS.
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