Risk factors related to hydrocephalus after large decompressive craniectomy in patients with severe craniocerebral injury
LU Si-ji
HUANG Jing-dong
HE Huai-jun
Abstract：Objective To explore the risk factors related to hydrocephalus after large decompressive craniectomy (LDC) in the patients with severe craniocerebral injury (SCI).Methods The clinical data of 104 patients with SCI undergoing LDC in our hospital from March,2012 to July,2015 were analyzed retrospectively.All the patients were followed up for 9 months.Of 104 patients with SCI,24 suffered from hydrocephalus and 80 not.The risk factors related to postoperative hydrocephalus were analyzed.Results The univariate analysis suggested that the factors related to the hydrocephalus after LDC included the age,ventricular hemorrhage,coma,subdural hematoma,bone window area,bilateral decompressive craniectomy,repair of skull defects in early phase and GCS score in the patients with SCI.The multiviate logistic regression analysis suggested that the independent risk factors for hydrocephalus after LDC were age≥50 years,ventricular hemorrhage,coma,subdural hematoma,bone window area≥120 cm2,bilateral decompressive craniectomy,no repair of skull defects in early phase and GCS score of 3～5 points in the patients with SCI (P＜0.05).Conclusion There are many risk factors for hydrocephalus after LDC in the patients with SCI,including age,ventricle hemorrhage,coma,subdural hematoma,bone window area,bilateral decompression,Skull defect repair surgery.The appropriate measures should be given to reduce the incidence of hydrocephalus.
Keywords：Severe craniocerebral injuryLarge decompressive craniectomyHydrocephalusRisk factors
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 313-315 )