颅骨修补术后切口感染及术区硬膜外血肿相关因素分析

Factors Related with Infection and Local Epidural Hematoma after Cranioplasty: A Retrospective Analysis

目的分析患者术前相关因素,如年龄、性别、原发病因、颅骨缺损部位及伴发脑积水、术中硬膜破损与术后切口感染及术区硬膜外血肿关系。方法回顾分析211例颅骨缺损修补术后患者的临床资料。结果本组8例出现并发症(3.8%),其中钛网颅骨修补术后术侧硬膜外血肿6例,颅骨修补处切口感染2例。切口感染与手术部位相关(P<0.01),硬膜外血肿与术前因素无相关性。结论颅骨修补术,特别是位于额部修补术,术前影像应注意额窦范围,避免固定修补材料钛钉进入额窦引起感染。

Objective To explore the factors associated with the complications of cranioplasty, infection and local epidural hematoma, such as age, sex, primary disease, skull defect and concomitant hydrocephalus. Methods 211 patients after cranioplasty were reviewed. Re-sults 8 cases （3.8%） complicated one of them, in which 6 cases with local epidural hematoma and 2 cases with infection. The infection was more likely related with the areas of skull defect （P=0.003）. No factor was found related with the local epidural hematoma. Conclusion It is necessary to focus the size of the frontal sinus when repairing the the frontal bone, to avoid the screw into the frontal sinus caused infection.