摘要
目的:探讨颅脑肿瘤手术后并发远隔部位急性硬膜外血肿的相关危险因素。方法:回顾性分析颅脑肿瘤患者1 468例,将术后并发远隔部位急性硬膜外血肿的患者22例为血肿组,另选择术后未发生硬膜外血肿的患者22例为对照组。对2组的病历资料进行单因素分析和Logistic多因素回归分析。结果:术后发生远隔部位急性硬膜外血肿的发生率为1.50%。血肿组的年龄、肿瘤大小、脑积水、脑萎缩、手术体位、甘露醇使用与对照组比较差异有统计学意义(P<0.05),年龄、颅脑肿瘤大小、并发脑积水和使用甘露醇是导致颅脑肿瘤手术切除后并发远隔部位急性硬膜外血肿的独立危险因素。血肿组采用微创穿刺治疗后均存活。结论:颅脑肿瘤手术切除后并发远隔部位急性硬膜外血肿的危险因素有年龄、肿瘤大小、脑积水、使用脱水药物,采用微创穿刺引流术治疗硬膜外血肿可得到满意效果。
Objective：To explore risk factors of postoperative acute epidural hematoma remote from the craniotomy site. Methods： A retrospective analysis of 1 468 patients of brain tumors was performed. And 22 cases of postoperative acute epidural hematoma remote from the craniotomy site were enrolled as hematoma group, 22 cases without epidural hematoma were enrolled as the control group. Univariate analysis and Logistic multivariate regression analysis of clinical data of the 2 groups were performed. Results： The incidence of postoperative acute epidural hematoma remote from the craniotomy site was 1.50%. The age, tumor size, hydrocephalus and brain atrophy were identified to be independent factors for postoperative remote epidural hematoma （P〈0.05）. The patients in the hematoma group survived after minimally invasive treatment. Conclusion： After surgical resection of brain tumors, the risk factors of postoperative acute epidural hematoma remote from the craniotomy site include age, tumor size, hydrocephalus, and dehydration drug use. Minimally invasive epidnral hematoma and drainage were effective.
出处
《神经损伤与功能重建》
2016年第1期39-41,共3页
Neural Injury and Functional Reconstruction
