Volume 20 Issue 2
Feb.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 243-245
WANG Geng-huan, SHEN He-ping, CHU Zheng-min, SHEN Jian-guo, ZHANG Li-tao, ZHU Kun-can. Clinical features and risk factors of subdural effusion following decompressive craniectomy in patients with traumatic brain injury[J]. Chinese Journal of General Practice, 2022, 20(2): 243-245. doi: 10.16766/j.cnki.issn.1674-4152.002323
Citation: WANG Geng-huan, SHEN He-ping, CHU Zheng-min, SHEN Jian-guo, ZHANG Li-tao, ZHU Kun-can. Clinical features and risk factors of subdural effusion following decompressive craniectomy in patients with traumatic brain injury[J]. Chinese Journal of General Practice, 2022, 20(2): 243-245. doi: 10.16766/j.cnki.issn.1674-4152.002323
shu

Clinical features and risk factors of subdural effusion following decompressive craniectomy in patients with traumatic brain injury

doi: 10.16766/j.cnki.issn.1674-4152.002323
  • 1.

    Department of Neurosurgery, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang 314000, China

Funds:

 2022KY1257

 2018AD32004

  • Received Date: 2021-03-10
    Available Online: 2022-03-04
    Abstract
  •   Objective  To investigate the clinical characteristics of subdural effusion following decompressive craniectomy in patients with traumatic brain injury and analyse its influencing factors to provide clinical evidence for early active prevention and intervention.  Methods  A total of 608 patients with craniocerebral injury treated with decompressive craniectomy from January 2010 to November 2019 in the Second Affiliated Hospital of Jiaxing University were selected as participants. They were divided into the subdural effusion group (120 cases) and the no subdural effusion group (488 cases). The clinical characteristics of the subdural effusion group were analysed, and various related factors of the two groups were analysed and compared.  Results  A total of 120 cases of subdural effusion occurred in 608 patients 4-22(10.3±4.2)d after surgery. The effusion volume was 12.2-120.8(25.4±10.3)mL. Subdural effusion was located on one side in 97 cases and on both sides in 23 cases; 95 cases were treated conservatively, and 25 cases were treated surgically. Univariate analysis showed that gender, age, hematoma volume, admission glasgow coma scale(GCS), midline shift, large bone flap, bilateral craniotomy, and diabetes were statistically different (P < 0.05). Univariate analysis showed that there were significant differences in gender, age, hematoma volume, admission GCS, median shift, large bone flap, bilateral craniotomy and diabetes (all P < 0.05). Multivariate logistic regression analysis showed that age, hematoma volume, admission GCS score, midline displacement and large bone flap were the influencing factors of subdural effusion after bone flap decompression (all P < 0.05).  Conclusion  The incidence of subdural effusion after decompressive craniectomy is high. Age, haematoma volume, GCS, midline shift and large bone flap are risk factors for subdural effusion following decompressive craniectomy in patients with traumatic brain injury.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    褚正民, 王耿焕, 沈建国, 等. 早期颅骨修补术治疗去骨瓣减压术后难治性硬膜下积液[J]. 中华创伤杂志, 2019, 35(11): 1024-1026. doi: 10.3760/cma.j.issn.1001-8050.2019.11.011
    [2]
    翟冬煜, 龚益, 刘林. 老年脑外伤扩大去骨瓣减压术后硬膜下积液合并脑积水的危险因素[J]. 中国老年医学杂志, 2019, 39(9): 2138-2141. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ201909033.htm
    [3]
    YUAN Q, WU X, YU J, et al. Subdural hygroma following decompressive craniectomy or non-decompressive craniectomy in patients with traumatic brain injury: Clinical features and risk factors[J]. Brain Inj, 2015, 29(7-8): 971-980. doi: 10.3109/02699052.2015.1004760
    [4]
    李改峰. 颅脑外伤开颅减压术后硬膜下积液的诊疗特点[J]. 中国实用医刊, 2017, 44(5): 34-36. doi: 10.3760/cma.j.issn.1674-4756.2017.05.012
    [5]
    何森, 何永生. 重型颅脑创伤去骨瓣减压术后硬膜下积液的研究进展[J]. 中华创伤杂志, 2016, 32(11): 1039-1042. doi: 10.3760/cma.j.issn.1001-8050.2016.11.017
    [6]
    AVECILLAS-CHASIN J M, BARCIA J A. Effect of amantadine in minimally conscious state of non-traumatic etiology[J]. Acta Neurochir(Wien), 2014, 156(7): 1375-1377. doi: 10.1007/s00701-014-2077-x
    [7]
    AVECILLAS-CHASIN J M. Subdural effusion in decompressive craniectomy[J]. Acta Neurochir(Wien), 2015, 157(12): 2121-2123. doi: 10.1007/s00701-015-2537-y
    [8]
    KI H J, LEE H J, LEE H J, et al. The risk factors for hydrocephalus and subdural hygroma after decompressive craniectomy in head injured patients[J]. J Korean Neurosurg Soc, 2015, 58(3): 254-261. doi: 10.3340/jkns.2015.58.3.254
    [9]
    WU R H, YE Y, MA T, et al. Management of subdural effusion and hydrocephalus following decompressive craniectomy for posttraumatic cerebral infarction in a patient with traumatic brain injury: A case report[J]. BMC Surg, 2019, 19(1): 26. doi: 10.1186/s12893-019-0489-5
    [10]
    SU T M, LAN C M, LEE T H, et al. Risk factors for the development of posttraumatic hydrocephalus after unilateral decompressive craniectomy in patients with traumatic brain injury[J]. J Clin Neurosci, 2019, 63: 62-67. doi: 10.1016/j.jocn.2019.02.006
    [11]
    KIM B O, KIM J Y, WHANG K, et al. The risk factors of subdural hygroma after decompressive craniectomy[J]. Korean J Neurotrauma, 2018, 14(2): 93-98. doi: 10.13004/kjnt.2018.14.2.93
    [12]
    党宝齐, 何卫春, 朱敏, 等. 重型颅脑损伤单侧去骨瓣减压术后对侧硬膜下积液诊疗分析[J]. 海南医学, 2015, 26(14): 2139-2140. doi: 10.3969/j.issn.1003-6350.2015.14.0771
    [13]
    XIE D J, XIE J X, WAN Y F, et al. The comparison between surgical procedure and conservative treatment in the management of traumatic subdural effusion[J]. Turk Neurosurg, 2016, 26(5): 725-731. http://www.turkishneurosurgery.org.tr/pdf/JTNEPUB_11826_online.pdf
    [14]
    WAN Y, SHI L, WANG Z M, et al. Effective treatment via early cranioplasty for intractable contralateral subdural effusion after standard decompressive craniectomy in patients with severe traumatic brain injury[J]. Clin Neurol Neurosurg, 2016, 149: 87-93. doi: 10.1016/j.clineuro.2016.08.004
    [15]
    SALUNKE P, GARG R, KAPOOR A, et al. Symptomatic contralateral subdural hygromas after decompressive craniectomy: Plausible causes and management protocols[J]. J Neurosurg, 2015, 122(3): 602-609. doi: 10.3171/2014.10.JNS14780
    [16]
    ZHENG F, XU H, VON SPRECKELSEN N, et al. Early or late cranioplasty following decompressive craniotomy for traumatic brain injury: A systematic review and meta-analysis[J]. J Int Med Res, 2018, 46(7): 2503-2512. doi: 10.1177/0300060518755148
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (313) PDF downloads(8) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return