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目的:探讨慢性硬脑膜下血肿(CSDH)患者钻孔引流术(BHID)后复发的影响因素。方法:回顾性分析2018年7月至2020年4月于长治市人民医院行BHID治疗且完成随访的62例CSDH患者的临床资料,根据术后血肿是否复发分为术后复发组与术后未复发组。分析CSDH患者BHID术后血肿复发的影响因素。结果:62例CSDH患者中,复发14例(22.58%),未复发48例(77.42%)。单因素分析与多项Logistic回归分析结果显示,合并高血压、高/混杂血肿密度、血肿厚度较大、双侧血肿是CSDH患者BHID术后复发的影响因素(n OR>1,n P1,n P<0.05).n Conclusions:Hypertension, high/mixed hematoma density, large thickness of hematoma and bilateral hematoma can increase the risk of hematoma recurrence in patients with CSDH after BHID. Based on that, preventive measures can be taken pasitively to reduce the recurrence rate of hematoma.