摘要
目的：探讨影响颅脑损伤去骨瓣减压术后硬膜外积液发生的独立危险因素。方法：回顾性分析2011年1月～2014年6月我院收治的200例颅脑损伤去骨瓣减压术患者的临床资料，其中术后发生硬膜下积液的患者65例（观察组），135例患者未发生硬膜下积液（对照组）。采用卡方检验或秩和检验进行颅脑损伤去骨瓣减压术后硬膜外积液危险因素的单因素分析。结果：单因素分析结果显示：2组在入院GCS评分、手术时机、血肿位置、血肿量、基底池受压、中线结构位移≥10 mm、蛛网膜下腔出血及脑积水发生率方面，2组差异具有统计学意义（ P＜0．05）。结论：损伤严重、血肿量大、CT表现为基底池受压、中线结构位移≥10 mm，并发蛛网膜下腔出血及脑积水的颅脑损伤患者在去骨瓣减压术后发生硬膜外积液的风险较高，应给予重视。
Objective：To explore the independent risk factors of subdural effusion after decompressive craniectomy in treatment of craniocerebral injury .Method：Retrospectively analysis the clinical data of 200 cases of craniocerebral injury patients who received decom-pressive craniectomy from January 2011 -June 2014 , including 65 patients with postoperative subdural effusion （ observation group ） , 135 patients had no subdural effusion （ control group ） .The single factor analysis using the chi -square test and t test .The independent risk factors analysis using the multi -factor Logistic regression analysis inspection .Results：The single factor analysis results show that the differences between the admission GCS score , hematoma volume , operation time , hematoma position , compression of basal cistern , mid-line structure displacement ≥10 mm, subarachnoid hemorrhage , and the incidence of hydrocephalus of the two groups have statistical sig -nificance （P 〈0.05）.Conclusion：Serious injury, a large hematoma volume, CT manifestations of compression of basal cistern , midline structure displacement ≥10 mm, concurrent subarachnoid hemorrhage and hydrocephalus in patients with craniocerebral injury have a higher risk of epidural effusion after decompressive craniectomy , should be given attention .
出处
《中国伤残医学》
2015年第2期13-15,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
颅脑损伤
去骨瓣减压术
硬膜下积液
危险因素
Craniocerebral injury
Decompressive craniectomy
Subdural effusion
Risk factors
