[1]谈志辉,陈 艾,江才永,等.颅脑损伤后发生脑积水的危险因素分析[J].中国临床神经外科杂志,2016,(12):750-752.[doi:10.13798/j.issn.1009-153X.2016.12.006]
 TAN Zhi-hui,CHEN Ai,JIANG Cai-yong,et al.Analysis of risk factors related to hydrocephalus occurrence in patients with traumatic brain injury[J].,2016,(12):750-752.[doi:10.13798/j.issn.1009-153X.2016.12.006]
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颅脑损伤后发生脑积水的危险因素分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年12期
页码:
750-752
栏目:
论著
出版日期:
2016-12-25

文章信息/Info

Title:
Analysis of risk factors related to hydrocephalus occurrence in patients with traumatic brain injury
文章编号:
1009-153X(2016)12-0750-03
作者:
谈志辉陈 艾江才永苏 俊
408400 重庆,重庆医科大学附属南川人民医院神经外科(谈志辉,陈 艾,江才永,苏 俊)
Author(s):
TAN Zhi-hui CHEN Ai JIANG Cai-yong SU Jun
Department of Neurosurgery, Nanchuan People’s Hospital Affiliated to Chongqing Medical University, Chongqing 408400, China
关键词:
颅脑损伤去骨瓣减压术脑积水危险因素
Keywords:
Traumatic brain injury Decompressive craniotomy Hydrocephalus Risk factors Analysis
分类号:
R 651.1+5; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.12.006
文献标志码:
A
摘要:
目的 探讨颅脑损伤后发生脑积水的危险因素。方法 回顾性分析2011年1月至2015年12月收治的380例颅脑损伤的临床资料,其中行去骨瓣减压术62例;采用多因素Logistic回归分析检验危险因素。结果 380例颅脑损伤中,继发脑积水63例,多因素Logistic回归分析显示术前GCS评分≤8分,蛛网膜下腔出血,硬脑膜下积液及去骨瓣减压术是发生脑积水的独立危险因素(P<0.05)。62例去骨瓣减压术中,发生脑积水20例,多因素Logistic回归分析显示双侧去骨瓣减压术,骨窗面积较大及二次手术是去骨板减压术后发生脑积水的独立危险因素(P<0.05)。结论 颅脑损伤后昏迷程度,蛛网膜下腔出血,双侧去骨瓣减压术,二次手术等均为发生脑积水的危险因素。
Abstract:
Objective To investigate factors influencing hydrocephalus occurrence in the patients with traumatic brain injury (TBI). Methods The clinical data and follow-up data of 380 patients with TBI were analyzed retrospectively. Sixty-two patients reveived decompressive craniotomy. Of 380 patients, 63 had hydrocephalus and 617 not after TBI. Of 62 patients undergoing decompression, 20 had hydrocephalus and 42 not. The factors related to the hydrocephalus were analyzed by univariate analysis and multivariate logistic regression analysis. Results Multivariate logistic regression analysis showed that the independent risk factors related to hydrocephalus after TBI included lower preoperative GCS score, subarachnoid hemorrhage, subdural effusion and decompressive craniotomy. The multivariate logistic regression analysis showed that the independent risk factors relate to hydrocephalus after decompressive craniotomy included the bilateral decompressive craniotomy, bigger area of bone window and secondary operation. Conclusion The coma, subarachnoid hemorrhage, bilateral decompressive craniotomy, secondary operation are the risk factors of hydrocephalus after the TBI.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81271383;81471245) 作者单位:408400 重庆,重庆医科大学附属南川人民医院神经外科(谈志辉,陈 艾,江才永,苏 俊) 通讯作者:江才永,E-mail:56068349@qq.com
更新日期/Last Update: 1900-01-01