去骨瓣减压术治疗创伤性颅脑损伤术后并发症发生情况及危险因素分析

目的 探讨去骨瓣减压术治疗创伤性颅脑损伤患者术后并发症的发生情况及危险因素.方法 对2012年1月-2016年5月行去骨瓣减压治疗的创伤性颅脑损伤106例的临床资料进行回顾性分析,统计术后并发症发生情况,分析其相关危险因素.结果 本研究中术后并发症发生率为39.62％.年龄、手术时机、血肿量、骨瓣大小、血肿位置及患者入院时格拉斯哥昏迷评分为去骨瓣减压治疗创伤性颅脑损伤术后并发症发生的危险因素(P＜0.05,P＜0.01).结论 创伤性颅脑损伤患者去骨瓣减压术后并发症发生率较高,应针对危险因素采取相应的措施,以降低术后并发症的发生率.

Analysis of and Incidence and Risk Factors of Postoperative Complications in Patients with Traumatic Brain Injury Treated by Decompressed Craniectomy

Objective To investigate incidence and risk factors of postoperative complications in patients with traumatic brain injury treated by decompressed craniectomy.Methods Clinical data of 106 patients with traumatic brain injury undergoing decompressed craniectomy during January 2012 and May 2016 was retrospectively analyzed.Incidence rate of postoperative complications was summarized,and related risk factors were analyzed.Results Incidence rate of postoperative complications was 39.62％.Age,operation time,hematoma volume,bone flap size,hematoma location and Glasgow coma scale (GCS) scores at the time of admission were risk factors of complications in patients with traumatic brain injury after decompressed craniectomy (P ＜ 0.05,P ＜ 0.01).Conclusion The incidence rate of complications of patients with traumatic brain injury treated by decompressed craniectomy is high,and therefore clinicians should take corresponding treatments for risk factores in order to decrease incidence rate of postoperative complications.