Risk factors of epidural fluid collection after cranioplasty in patients with traumatic brain injury
10.3969/j.issn.1009-0754.2023.12.009
- VernacularTitle:颅脑损伤患者颅骨修补术后继发硬膜外积液的危险因素研究
- Author:
Hai ZHOU
1
;
Peizhang WU
;
Weihua CHEN
;
Shengkai YANG
;
Hua YANG
;
Hongwei TENG
;
Jing ZHOU
Author Information
1. 224500 江苏盐城,滨海县人民医院(南京医科大学康达学院附属滨海人民医院)神经外科
- Keywords:
Traumatic brain injury;
Decompressive craniectomy;
Cranioplasty;
Epidural fluid collection;
Risk factors
- From:
Journal of Navy Medicine
2023;44(12):1254-1258
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors of epidural fluid collection(EFC)after cranioplasty in patients with traumatic brain injury(TBI).Methods A total of 97 TBI patients who underwent cranioplasty at Yancheng No.1 People's Hospital and Binhai County People's Hospital in Jiangsu Province from January 2020 to December 2021 were enrolled.Multiple logistic regression analysis was used to explore the independent risk factors for EFC after cranioplasty in TBI patients.Results According to the occurrence of secondary EFC,the patients were divided into EFC group(n=30)and non-EFC group(n=67).Univariate analysis showed that the proportions of patients with midline displacement>5 mm,skull defect>80 cm2,severe depression at the defect site,dural calcification,dural defect,and epidural air accumulation in the EFC group were significantly higher than those in the non-EFC group(P<0.05).Multivariate logistic regression analysis showed that midline displacement>5 mm,skull defect>80 cm2,severe depression at the defect site,dural calcification,and epidural gas accumulation were independent risk factors for EFC in TBI patients after cranioplasty(P<0.05).Conclusion The secondary EFC in TBI patients after cranioplasty is related to midline displacement distance,skull defect area and degree of depression,dural calcification,and epidural gas accumulation.In clinical practice,it is necessary to fully evaluate imaging data and strengthen surgical management to reduce the risks of secondary EFC and improve prognosis.
