颅骨修补术后并发症发生的相关因素分析及处理方法

Analysis of related factors and treatment on the complications of cranioplast

目的:探讨颅骨修补术后并发症发生的相关因素和处理办法。方法:回顾性分析86例颅骨修补术患者临床资料,对其并发症发生的相关因素进行分析。结果:有部分患者出现了皮下积液、癫痫和自发性脑出血、切口感染等并发症,皮下积液的并发症与患者之前存在脑积水和硬膜破损有关;切口感染和手术的部位有关。结论:进行颅骨修补手术要严密地缝合硬膜,存在脑积水要进行同期治疗,可以降低皮下积液的发生概率。尽可能避免内固定与额窦相通污染,用碘酒进行清理,可以降低切口感染的发生概率。

Objective:To investigate the related factors and treatment methods on complications of cranioplast.Methods:86patients with skull repair were selected,then their clinical data were analyzed retrospectively,and analyzed the related factors ofthe complications.Results:A part of patients had subcutaneous effusion,epilepsy and spontaneous intracerebral hemorrhage,incision infection and other complications,complications of subcutaneous effusion were related to the presence of hydrocephalusand dural damage;surgical wound infections has relationship with the position of incision.Conclusion:The dura should be tightstitch during the skull repair surgery,hydrocephalus should be treated at the same period.It can reduce the incidence ofsubcutaneous effusion.Clean up with iodine,to avoid the internal fixation with the frontal sinus communicated with iodine pollutionas far as possible,in order to reduce the incidence of incision infection.