颅骨修补术后硬膜外积液的危险因素分析
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Risk factors analysis of epidural fluid collection after cranioplasty
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    摘要:

    【摘要】〓目的〓探讨颅骨修补术后出现硬膜外积液的危险因素。方法〓收集2012年7月~2015年6月颅骨修补术后204例患者的临床资料,将患者年龄、性别、最初诊断、修补时间、缺损范围、硬膜外积气、硬膜钙化、缺损处严重凹陷列为危险因素,运用2检验分析颅骨修补术后硬膜外积液的危险因素,Logistic多元回归分析确定独立危险因素。结果〓颅骨修补术后硬膜外积液的发生率为16.2%,Logistic多元回归分析显示,术后硬膜外积气、硬膜钙化为硬膜外积液发生的独立危险因素。结论〓颅骨修补术后硬膜外积气、硬膜钙化为硬膜外积液发生的独立危险因素,应予特别重视,对术后硬膜外积液的评估及防范具有重要的临床意义。

    Abstract:

    【Abstract】〓Objective〓To analyze the clinical data of patients after cranioplasty and evaluate risk factors of epidural fluid collection as a complication of cranioplasty.Methods〓The clinical data of 204 patients after cranioplasty from July 2012 to June 2015 were analyzed. The age, gender, initial diagnosis, timing between cranioplasty, size of bone flap, epidural air bubbles, dural calcification, and depressed skull defects were analyzed as influencing factors. Chisquare test was used to select risk factors for epidural fluid collection after cranioplasty. Logistic regression analysis was used to define the independent risk factors.Results〓The incidence of epidural fluid collection after cranioplasty was 16.2%. The logistic regression analysis showed that epidural air bubbles and dural calcification was independent risk factor of epidural fluid collection after cranioplasty.Conclusion〓Special attention should be aroused, when epidural pneumatosis after cranioplasty and dural calcification during cranioplasty. It plays an important role in assessment and protection of epidural fluid collection after cranioplasty.

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  • 在线发布日期: 2017-11-10
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