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目的:探讨颅脑创伤患者行去骨瓣减压术后发生脑积水的相关因素。方法:对2004年1月至2010年12月我院69例行去骨瓣减压术颅脑创伤患者随访1年并分为脑积水组和无脑积水组,比较两组患者年龄、性别、术前Glasgow昏迷指数(GCS)评分、受伤到去骨瓣减压时间间隔、中线移位距离、去骨瓣减压方式及预后。结果:16例患者出现脑积水(23.2%),脑积水组患者双侧去骨瓣减压比率明显高于无脑积水组患者,其余观察指标两组间无明显差异。结论:双侧去骨瓣减压术可能是颅脑创伤患者发生脑积水的危险因素。
Objective: To investigate the related factors of hydrocephalus after decompressive craniectomy in patients with traumatic brain injury. Methods: From January 2004 to December 2010, 69 patients with craniocerebral trauma who underwent decompressive craniectomy in our hospital were followed up for one year and divided into hydrocephalus group and hydrocephalus group. The age, Gender, preoperative Glasgow coma index (GCS) score, time to traumatic ciliary decompression, midline displacement, decompressive craniectomy, and prognosis. Results: The hydrocephalus occurred in 16 patients (23.2%). The rate of bilateral decompressive craniectomy in patients with hydrocephalus was significantly higher than that in patients without hydrocephalus. There was no significant difference between the other two groups. Conclusion: Bilateral decompressive craniectomy may be a risk factor for hydrocephalus in patients with traumatic brain injury.