开颅手术术后血肿的危险因素探讨

目的：探讨开颅手术术后血肿（post-craniotomy hematoma，PCH）的危险因素，减少术后血肿的发生。方法：回顾分析颅内三大疾病（脑膜瘤、胶质瘤、动脉瘤）共687例的临床资料。结果：脑膜瘤术后发生血肿显著高于胶质瘤、动脉瘤，胶质瘤和动脉瘤的术后血肿发生情况无显著差异。老年病人术后血肿发生率高于中青年病人，有凝血功能异常的病人术后血肿发生率高。结论：神经外科开颅手术病人术后血肿发生率高，可能与手术种类、患者的年龄、术后凝血纤溶改变有关。

Study on risk factors of postoperative hematoma after craniotomy

Objective: To study the risk factors of postoperative hematoma after craniotomy and to reduce the occurrence of post-operative hematoma.Methods: The clinical data of 687 cases of intracranial neoplasms(meningioma,glioma,aneurysm) were analyzed retrospectivel.Results: Meningioma surgery carried a higher risk for postoperative hematoma than other intracranial neoplasms.The incidence of post-operative hematoma showed no significant difference between patients with glioma and these aneurysm.The incidence of post-operative hematoma in the elder was higher than that in the young or the middle-age with.The incidence of postoperative hematoma in patients with dysfunction coagulation was higher.Conclusions: The incidence of postoperative hematoma was higher for craniotomy in neurosurgery.The morbidity of postoperative hematoma in patients undergoing intracranial surgery was different regarding types of operation,age of patients and alteration of coagulation.