摘要
目的探讨颅骨成形术后颅内出血的相关危险因素及手术时机的选择。方法回顾性分析合肥市第二人民医院94例颅骨成形术患者的临床资料,采用单因素分析术前骨窗凹陷、手术时间等因素与术后颅内出血的关系。结果94例患者术后发生颅内出血8例(8.51%),单因素分析显示术前骨窗凹陷与术后颅内出血发生显著相关(p<0.05);进一步采用分层卡方检验显示术前有骨窗凹陷患者术后颅内出血的风险是无骨窗凹陷患者的5.517倍。结论在骨窗平坦或轻度凹陷时进行颅骨成形术,可以减少术后颅内出血的发生,避免术后神经功能障碍进一步加重。
Objective To explore the related risk factors of intracranial hemorrhage after cranioplasty and the choice of operation timing.Methods The clinical data of 94 patients with cranioplasty in the Second People's Hospital of Hefei were retrospectively analyzed,and the relationship between preoperative bone window depression,operation time and postoperative intracranial hemorrhage was analyzed by single factor.Results Among the 94 patients,intracranial hemorrhage occurred in 8 cases(8.51%).Univariate analysis showed that preoperative bone window depression was significantly related to postoperative intracranial hemorrhage(p<0.05).Furthermore,the stratified chi-square test showed that the risk of postoperative intracranial hemorrhage in patients with bone window depression before operation was 5.517 times higher than that in patients without bone window depression.Conclusion Cranioplasty when the bone window is flat or slightly depressed can reduce the occurrence of postoperative intracranial hemorrhage and avoid further aggravation of postoperative neurological dysfunction.
作者
刘涛
包爱军
邱胜利
LIU Tao;BAO Ai-jun;QIU Sheng-li(The Second People's Hospital of Hefei/Hefei Hospital Affiliated to Anhui Medical University)
出处
《医院管理论坛》
2023年第3期50-53,共4页
Hospital Management Forum
基金
蚌埠医学院自然科学重点项目,编号:2020byzd315。
关键词
颅骨成形术
术后颅内出血
骨窗凹陷
手术时机
Cranioplasty
Postoperative intracranial hemorrhage
Bone window depression
Operation timing
