文献类型：期刊文献

中文题名：颅骨修补术后并发症及其影响因素分析

英文题名：Postoperative complications and influencing factors after cranioplasty

作者：梁松林[1];荔志云[2];孙建军[2];孙启皓[1];李贺[3];乐利明[2];丁豪帅[1];杨鑫[1];张中景[2]

第一作者：梁松林

机构：[1]甘肃中医药大学第一临床医学院,兰州730030;[2]联勤保障部队第九四〇医院神经外科,兰州730050;[3]宁夏医科大学研究生院,银川750004

第一机构：甘肃中医药大学临床医学院

年份：2021

卷号：7

期号：6

起止页码：350

中文期刊名：中华神经创伤外科电子杂志

外文期刊名：Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

收录：CSTPCD

基金：甘肃省重点研发专项计划(17YF1FA136)。

语种：中文

中文关键词：颅骨修补;并发症;影响因素

外文关键词：Cranioplasty;Complications;Influencing factor

摘要：目的探讨颅骨修补术后并发症的相关影响因素并进行临床分析。方法选取联勤保障部队第九四〇医院神经外科自2015年3月至2020年5月诊治的203例颅骨修补患者的临床资料,收集可能与患者颅骨修补术后并发症存在相关性的因素,采用单因素分析和多因素Logistic回归分析相关因素与患者并发症的关系。结果术后44例患者出现并发症,其中感染6例,继发癫痫15例,钛网暴露9例,颅内出血7例,硬膜外积液6例,死亡1例。通过单因素和多因素Logistic回归分析发现年龄(>50岁)、颅骨缺损面积(>10 cm×10 cm)及修补时间(>6个月)为患者颅骨修补术后并发症出现的独立危险因素(P<0.05)。结论患者年龄、颅骨缺损面积及修补时间是颅骨修补术后并发症发生的独立危险因素,重点评估上述指标并严格规范操作,争取早期行颅骨修补,重视其全身疾病,可以有效减少并发症的发生。
Objective To explore the related factors of complications of cranioplasty and make clinical analysis.Methods The clinical data of 203 patients with cranioplasty treated in Neurosurgery Department of 940th Hospital of the Joint Service Support Force from March 2015 to May 2020 were collected.The factors that may be associated with postoperative complications of cranioplasty.Univariate analysis and multivariate Logistic regression were used to analyze the relationship between related factors and complications.Results Postoperative complications occurred in 44 patients,including 6 cases of infection,15 cases of secondary epilepsy,9 cases of titanium mesh exposure,7 cases of intracranial hemorrhage,6 cases of epidural effusion,and 1 case of death.Univariate and multivariate Logistic regression analysis showed that age(>50 years old),skull defect area(>10 cm×10 cm)and repair time(>6 months)were independent risk factors of complications after cranioplasty(P<0.05).Conclusion Patients’age,skull defect area and repair time are independent risk factors for complications after cranioplasty.It can effectively reduce the occurrence of complications by focusing on the evaluation of the above indicators and strictly standardizing the operation,striving for early cranioplasty and paying attention to their systemic diseases.