颅骨修补术后并发症危险因素分析

Risk factor analysis of complications of cranioplasty

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。

Abstract:

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 ratio 9.506; 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.