文章摘要
罗胜 ，王丽琨 ，任思颖 ，叶飞 ，黎辰 ，伍国锋.微创颅内血肿穿刺引流术后残余血肿量对脑出血患者预后的影响[J].神经损伤功能重建,2022,17(4):208-211
微创颅内血肿穿刺引流术后残余血肿量对脑出血患者预后的影响
Effect of Residual Hematoma Volume after Minimally Invasive Surgery on Prognosis of Pa⁃tients with Intracerebral Hemorrhage
  
DOI：
中文关键词: 脑出血  微创颅内血肿穿刺引流术  血肿残留  预后
英文关键词: intracerebral hemorrhage  minimally invasive surgery  residual hematoma volume  prognosis
基金项目:国家自然科学基金 （No. 81971126）； 贵州省高层次留学 人才创新创业择优 资 助 启 动 项 目 （No. 2020-05号）； 贵州省卫生健康委 科学技术基金项目 （No. gzwjk2020-1- 016）
作者单位
罗胜1 ，王丽琨2 ，任思颖2 ，叶飞2 ，黎辰2 ，伍国锋2 1. 贵州医科大学临 床医学院急诊医学 教研室 2. 贵州医科大学附 属医院急诊神经科 
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中文摘要:
      目的：探讨脑出血行微创颅内血肿穿刺引流术（MIS）引流结束时（EOT）颅内残留血肿量对患者预后 的影响。方法：自发性脑出血患者256例纳入研究，以患者出院预后为标准，经ROC曲线分析后得到EOT 时颅内血肿残留量预测患者出院预后好的截断值为11.288 mL；据此将患者分EOT低残留组（EOT颅内血 肿残留量＜11.288 mL）191例和EOT高残留组（EOT颅内血肿残留量≥11.288 mL）55例。收集并比较2组 人口学资料、既往史、本次发病临床资料及影像学资料。结果：EOT低残留组较EOT高残留组的预后更 好、3个月死亡率更低、mRS评分更低，差异有统计学意义（均P＜0.05）；经二元Logistic回归及COX回归 结果提示EOT时颅内血肿残留<11.288 mL是患者出院预后好的独立预测因子。结论：脑出血患者MIS治 疗EOT时颅内血肿残留＜11.288 mL可能是患者出院预后好的独立预测因素。
英文摘要:
      To investigate the effect of residual hematoma volume at the end of treatment (EOT) on the prognosis of intracerebral haemorrhage (ICH) patients after minimally invasive surgery (MIS). Meth⁃ ods: A total of 256 ICH patients treated with MIS were enrolled. According to the prognosis of the patients after discharge, the ROC curve analysis showed that the cut-off value of residual hematoma volume at EOT was 11.288 mL. 119 patients were divided into low EOT residual hematoma volume group (residual intracranial hematoma volume＜11.288 mL) and 65 in high EOT residual hematoma volume group (residual intracranial hematoma volume≥11.288 mL). The demographic data, past history, clinical data and imaging data of all the patients were collected and analyzed. Results: Compared with the high EOT residual hematoma volume group, the low EOT residual hematoma volume group had a higher proportion of good prognosis and a lower proportion of mortality rate. The results of binary logistic regression and COX regression showed that residual hematoma volume<11.288 mL at EOT was an independent predictor of good prognosis. Conclusion: The residual hematoma volume less than 11.288 mL at EOT may be an independent predictor of good prognosis for ICH patients after MIS.
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