摘要
目的探讨颅骨修补术后并发症危险因素。方法回顾性分析255例颅骨修补患者的临床资料,分析术前相关因素对术后发生并发症的影响。结果行脑室-腹腔分流患者颅骨修补术后的感染率较未行脑室-腹腔分流患者高(25.00%vs6.81%,p=0.004),logistic回归分析显示脑室-腹腔分流与颅骨修补术后发生感染(odds ratio 9.506;95%confidence interval(CI)2.485-36.340;p=0.001)及皮瓣坏死相关(odds ratio 6.347;95%CI 0.037-13.556;p=0.003)。结论颅骨修补术前行脑室腹腔分流导致术后感染及皮瓣坏死发生率增加。
Objective To explore the risk factors of complications of post-craniectomy cranioplasty. Methods Clinical data of 255 patients of cranioplasty were analyzed retrospectively,and the influence of the related factors on postoperative complications were analyzed. Results The infection rate of the patients with cranioplasty after the operation of the patients with ventriculoperitoneal shunting were higher than that of the patients with no ventriculoperitoneal shunting（ 25. 00% vs 6. 81%,p = 0. 004）. Logistic regression analysis showed that the ventriculoperitoneal shunting before the operation of cranioplasity was related to incidence of infection（ odds ratio9. 506; 95% confidence interval（ CI） 2. 485- 36. 340; p = 0. 001） and necrosis of skin flap（ odds ratio 6. 347; 95% CI 0. 037-13. 556; p = 0. 003）. Conclusions The operation of the ventriculoperitoneal shunting resulted in an increase in the incidence of infection and necrosis of skin flap after cranioplasty operation.
出处
《国际神经病学神经外科学杂志》
北大核心
2016年第3期202-205,共4页
Journal of International Neurology and Neurosurgery
关键词
颅骨修补
并发症
感染
hydrocephalus
skull fractures
ventriculoperitoneal shunt
