重型颅脑外伤患者外科治疗后远隔位置再次手术的影响因素分析

doi:10.3969/j.issn.1671-7171.2021.01.023

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Abstract 【Objective】To investigate the influencing factors of reoperation at distant position in patients with severe craniocerebral trauma after surgical treatment.【Methods】The clinical data of 92 patients with severe craniocerebral trauma in our hospital were retrospectively analyzed. Among them, 20 patients underwent reoperation in remote part (reoperation group), 72 patients did not need operation (non reoperation group). Univariate analysis and logistic analysis were used to analyze the related factors of reoperation at distant position after surgical treatment in patients with severe craniocerebral trauma.【Results】Brain stem injury, hydrocephalus, focus site, focus site and hematoma location, remote site fracture, decompressive craniectomy, operation position, intraoperative blood loss, intraoperative acute encephalocele all affected the reoperation of patients with severe craniocerebral trauma at remote location after surgical treatment, the difference was statistically significant (P<0.05). Logistic multivariate analysis showed that brainstem injury, hydrocephalus, occipital exertion, contralateral or bilateral to hematoma, distal fracture, decompressive craniectomy and intraoperative acute encephalocele were the risk factors for reoperation in patients with severe traumatic brain injury (P<0.05).【Conclusion】For severe traumatic brain injury patients with brainstem injury, hydrocephalus, occipital exertion, contralateral or bilateral to hematoma, distal fracture, decompressive craniectomy and intraoperative acute encephalocele, monitoring should be strengthened after surgical treatment, and targeted measures should be taken in time to reduce the incidence of reoperation at distal position.

Key words： Craniocerebral Trauma/SU Reoperation Brain Stem Hemorrhage Traumatic/ET Hydrocephalus/ET Root Cause Analysis

Received: 29 May 2018

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	YIN Cheng
	LIU Tao

Cite this article:

YIN Cheng,LIU Tao. Analysis of Influencing Factors of Reoperation at Distant Position after Surgical Treatment in Patients with Severe Craniocerebral Trauma[J]. JOURNAL OF CLINICAL RESEARCH, 2021, 38(1): 78-80.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.01.023 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I1/78

[1]	. [J]. JOURNAL OF CLINICAL RESEARCH, 2021, 38(2): 168-171.