Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2025, Vol. 25 ›› Issue (4): 345-349. doi: 10.3969/j.issn.1672-6731.2025.04.012

• Clinical Study • Previous Articles     Next Articles

Analysis of influencing factors for subcutaneous effusion after cranioplasty

Yang LIU, Wen-yi ZHANG, Yun-peng WANG, Kun ZHAO, Jian WANG, Ai-xian LIU*()   

  1. Neurological Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, China
  • Received:2025-01-06 Online:2025-04-25 Published:2025-05-19
  • Contact: Ai-xian LIU

颅骨修补术后皮下积液影响因素分析

刘阳, 张文毅, 王云朋, 赵坤, 王健, 刘爱贤*()   

  1. 100144 首都医科大学附属北京康复医院神经康复中心
  • 通讯作者: 刘爱贤

Abstract:

Objective: To explore the influencing factors for subcutaneous effusion (SCE) after cranioplasty. Methods: Total of 111 patients with skull defect who underwent cranioplasty from January 2019 to June 2024 in Beijing Rehabilitation Hospital, Capital Medical University were analyzed retrospectively. All the patients were devided into SCE group (n = 29) and non-SCE group (n = 82) according to whether they had SCE after cranioplasty. Univariate and multivariate Logistic regression analyses were applied to explore the influencing factors for SCE after cranioplasty. Results: Among 111 patients, 29 had SCE after cranioplasty, with an incidence of 26.13%. All the 29 patients recovered and there was no bleeding, scalp damage, implant exposure, poor wound healing and intracranial infection after the treatment. Logistic regression analysis showed that age increase (OR = 1.075, 95%CI: 1.027-1.126; P = 0.002), polyether-ether-ketone (PEEK) repair material (OR = 7.673, 95%CI: 2.227-26.435; P = 0.001) and 24 h drainage increase before drain removal (OR = 1.026, 95%CI: 1.008-1.044; P = 0.004) were risk factors for SCE after cranioplasty. Conclusions: Age increase, PEEK repair material and 24 h drainage increase before drain removal were risk factors for SCE after cranioplasty. Timely and effective interventions should be taken according to individual condition.

Key words: Skull, Titanium, Biocompatible materials, Craniotomy, Postoperative complications, Risk factors, Logistic models

摘要:

目的: 筛查颅骨修补术后发生皮下积液的影响因素。方法: 共计纳入2019年1月至2024年6月在首都医科大学附属北京康复医院行颅骨修补术的111例患者,根据术后是否出现皮下积液分为皮下积液组(29例)和无皮下积液组(82例)。单因素和多因素Logistic回归分析筛查颅骨修补术后发生皮下积液的影响因素。结果: Logistic回归分析显示,年龄增长(OR=1.075,95% CI:1.027~1.126;P=0.002)、颅骨修补材料为聚醚醚酮(OR=7.673,95% CI:2.227~26.435;P=0.001)和拔管前24 h引流量增多(OR=1.026,95% CI:1.008~1.044;P=0.004)是颅骨修补术后发生皮下积液的危险因素。术后无一例发生术区出血、头皮破损、修补材料外露、切口愈合不良、颅内感染等其他并发症。结论: 年龄增长、聚醚醚酮材料修补颅骨及拔管前24 h引流量增多可增加颅骨修补术后皮下积液风险,应根据个体情况采取及时有效的干预措施。

关键词: 颅骨, 钛, 生物相容性材料, 颅骨切开术, 手术后并发症, 危险因素, Logistic模型