摘要
Abstract
Objective:To investigate the occurrence and risk factors of hydrocephalus after decompressive craniectomy in patients with craniocerebral injury.Methods:A retrospective analysis was conducted on the clinical data of 82 patients with craniocerebral injury admitted to the Linshu County People's Hospital from October 2019 to May 2024,and they were divided into a hydrocephalus group(n=32)and a non hydrocephalus group(n=50)based on whether the patient developed hydrocephalus after surgery.Regarding the clinical manifestations of hydrocephalus after decompressive craniectomy in patients with craniocerebral injury,univariate analysis was used to screen its related factors,Logistic regression analysis was used to screen its risk factors.Results:Among 82 patients with craniocerebral injury,32 developed hydrocephalus after decompressive craniectomy,incidence of hydrocephalus was 39.02%.Univariate analysis showed that age,bone window area,combined cerebral hernia,ventriculohematoma,intracranial infection and cisterna compression were associated to the occurrence of hydrocephalus after decompressive craniectomy,the difference was statistically significant(P<0.05).The results of Logistic regression analysis showed that age≥60 years old,bone window area≥75cm2,combined with cerebral hernia,ventricular hematoma,intracranial infection and cisterna circumferential compression were the risk factors for hydrocephalus after decompressive craniectomy,the difference was statistically significant(P<0.05).Conclusion:Age≥60 years old,bone window area≥75 cm2,combined with cerebral hernia,ventricular hematoma,intracranial infection and cisterna circumferential compression were the risk factors for hydrocephalus after decompressive craniectomy,and it is necessary to attach great importance and take targeted prevention and treatment measures to reduce the occurrence of hydrocephalus.关键词
颅脑外伤/去骨瓣减压术/脑积水/危险因素Key words
Craniocerebral injury/Decompressive craniectomy/Hydrocephalus/Risk factors分类
医药卫生
