颅骨缺损修补术后并发症的相关因素分析

Analysis of the Factors Relevant to Postoperative Complications of Cranial Bone Defects Reconstruction

目的探讨颅骨修补术后并发症发生的相关因素及处理方法。方法对50例颅骨缺损修补术后并发症的情况进行回顾性分析,并分析修补材料、年龄、颅骨缺损面积大小与术后并发症之间的关系。结果并发症发生率钛网组(2/20)明显低于自体颅骨(5/14)和骨水泥组(7/16)(P<0.05),中青年组(年龄<60)(4/26)低于老年组(10/24)(P<0.05),缺损面积较小者(≤40 cm2)(5/28)低于缺损面积较大者(>40 cm2)(9/22)(P<0.05)。结论修补材料、年龄和缺损面积大小是影响颅骨缺损修补术后并发症的重要因素,应用钛网材料修补并发症明显低于自体颅骨和骨水泥;老年患者术后并发症比例明显多于中青年;颅骨缺损越大,术后各种并发症发生率越高。

Objective To analyse the factors related to postoperative complications of skull repairing. Methods The clinical data of 50 patients with skull defect from January 2000 to January 2009 were analyzed retrospectively, and the relationship between repairing material, age, defect size and postoperative complications were analyzed. Results Titanium mesh group（2/20） has a lower postoperative complication rate than autogenous bone group （5/14） and bone cement group （7/16） （ P 〈 0.05 ） ; 18- 59 years old person （4/26） lower than 60 -69 years old person （ 10/24 ） （ P 〈 0.05 ） ; defect area ≤40 em2 （ 5/28 ） were lower than 〉 40 em2 （ 9/22 ） （ P 〈 0.05 ）. Conclusion Repairing material, age and defect size are important factors related to postoperative complications of skull repairing, titanium mesh had lower applications than autogenous bone and bone cement. Postoperative complications in elderly patients was significantly more than the young;the greater skull defect scale,the higher the incidence of postoperative complications appear.