The influence of decompressive craniectomy on the development of hydrocephalus: a review
The influence of decompressive craniectomy on the development of hydrocephalus: a review
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去骨瓣减压术对脑积水发生的影响：综述
DOI：
10.1590/0004-282x20140106
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发表时间：
2014-09-01
影响因子：
1.4
通讯作者：
Tian, Hengli
中科院分区：
文献类型：
--
作者：
Ding, Jun;Guo, Yan;Tian, Hengli
减压颅骨切除术（DC）被广泛用于治疗创伤性脑损伤（TBI）或脑血管疾病后的颅内高压。许多研究讨论了该手术的并发症，脑积水是DC的常见并发症。为了进一步评估DC与脑积水之间的关系，我们进行了文献回顾。DC后可能出现许多并发症，包括挫伤或血肿扩张、癫痫、通过骨缺损的皮质突出、通过头皮切口的脑脊液漏、感染、硬膜下积液、脑积水和“腱鞘综合征”。确定了几种脑积水的预测因素；这些指标包括DC、距中线的距离、水肿、年龄、损伤严重程度、蛛网膜下腔或脑室内出血、延迟开颅时间、重复手术和成形性。然而，不同研究的结果有所不同。DC对脑积水的影响仍有争议。
Decompressive craniectomy (DC) is widely used to treat intracranial hypertension following traumatic brain injury (TBI) or cerebral vascular disease. Many studies have discussed complications of this procedure, and hydrocephalus is a common complication of DC. To further evaluate the relationship between DC and hydrocephalus, a review of the literature was performed. Numerous complications may arise after DC, including contusion or hematoma expansion, epilepsy, herniation of the cortex through a bone defect, CSF leakage through the scalp incision, infection, subdural effusion, hydrocephalus and "syndrome of the trephined". Several hydrocephalus predictors were identified; these included DC, distance from the midline, hygroma, age, injury severity, subarachnoid or intraventricular hemorrhage, delayed time to craniotomy, repeated operation, and duraplasity. However, results differed among studies. The impact of DC on hydrocephalus remains controversial.