Jia Zhenling, Li Jia, Shan Yuchao, Xu Dongjing, Li Jing
Zhenling Jia, Department of Neurosurgery Third, Baoding NO.1 Central Hospital, Baoding 071000, Hebei, China.
Jia Li, Department of Neurosurgery Third, Baoding NO.1 Central Hospital, Baoding 071000, Hebei, China.
Pak J Med Sci. 2025 May;41(5):1376-1380. doi: 10.12669/pjms.41.5.10382.
To investigate the incidence and risk factors of postoperative complications in patients treated with decompressive craniectomy for craniocerebral injury.
A retrospective analysis was conducted on the clinical data of 80 patients with craniocerebral injury who underwent decompressive craniectomy in Baoding NO.1 Central Hospital from May 2022 to January 2024, with statistics of the incidence of postoperative complications collected for the analysis of the related risk factors.
In this study, the incidence of postoperative complications was 37.50%, including intracranial infection (n=5; 6.25%), delayed intracranial hemorrhage (n=6; 7.50%), subdural effusion (n=15; 18.75%), cerebrospinal fluid leakage (n=3; 3.75%), and hydrocephalus (n=7; 8.75%). Additionally, the location and volume of hematoma were independent risk factors for complications after decompressive craniectomy for craniocerebral trauma(p<0.05).
Due to the high incidence of complications after decompressive craniectomy for craniocerebral trauma, relevant measures should be taken according to the risk factors to reduce the incidence of postoperative complications, along with prompt postoperative treatment, thereby improving the efficacy of surgery.
探讨颅脑损伤去骨瓣减压术患者术后并发症的发生率及危险因素。
回顾性分析2022年5月至2024年1月在保定市第一中心医院接受去骨瓣减压术的80例颅脑损伤患者的临床资料，统计术后并发症的发生率，分析相关危险因素。
本研究中，术后并发症发生率为37.50%，包括颅内感染（n = 5；6.25%）、迟发性颅内出血（n = 6；7.50%）、硬膜下积液（n = 15；18.75%）、脑脊液漏（n = 3；3.75%）和脑积水（n = 7；8.75%）。此外，血肿的部位和体积是颅脑创伤去骨瓣减压术后并发症的独立危险因素（p < 0.05）。
由于颅脑创伤去骨瓣减压术后并发症发生率较高，应根据危险因素采取相关措施以降低术后并发症的发生率，并及时进行术后治疗，从而提高手术疗效。
