Prediction model for failure of drilling drainage and craniotomy in the treatment of hypertensive cerebral hemorrhage combined with cerebral herniation
Objective:To study the drainage and craniotomy for hypertensive brain herniation prediction model.Methods:A total of 132 patients with hypertensive cerebral hemorrhage complicated with cerebral hernia admitted to our hospital from January 2020 to August 2022 were selected,all patients underwent burr hole drainage combined with hematoma evacuation,According to the results of surgical treatment,the patients were divided into successful group and failure group.Univariate and multivariate Logistic regression analysis was used to determine the factors influencing the treatment failure of hypertensive cerebral hemorrhage complicated with cerebral hernia.Results:Logistic regression analysis showed that myoglobin,α-hydroxybutyrate dehydrogenase,hematoma volume,hematoma penetration into the ventricle,brain line displacement degree,time from injury to craniotomy and pore diameter were the factors influencing treatment failure in patients with HICH complicated with cerebral hernia(P<0.05).Conclusion:Clinical predictive models can forecast the outcomes of drainage and hematoma removal surgeries,enhancing success rates and prognoses.
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