Clinical Analysis of causes and preventive measures of complications after decompressive craniectomy for Craniocerebral Trauma

Abstract

Objective: To investigate the incidence and risk factors of postoperative complications in patients treated with decompressive craniectomy for craniocerebral injury.

Methods: A retrospective analysis was conducted on the clinical data of 80 patients with craniocerebral injury who underwent decompressive craniectomy in Baoding NO.1 Central Hospital from May 2022 to January 2024, with statistics of the incidence of postoperative complications collected for the analysis of the related risk factors.

Results: In this study, the incidence of postoperative complications was 37.50%, including intracranial infection (n=5; 6.25%), delayed intracranial hemorrhage (n=6; 7.50%), subdural effusion (n=15; 18.75%), cerebrospinal fluid leakage (n=3; 3.75%), and hydrocephalus (n=7; 8.75%). Additionally, the location and volume of hematoma were independent risk factors for complications after decompressive craniectomy for craniocerebral trauma(p<0.05).

Conclusion: Due to the high incidence of complications after decompressive craniectomy for craniocerebral trauma, relevant measures should be taken according to the risk factors to reduce the incidence of postoperative complications, along with prompt postoperative treatment, thereby improving the efficacy of surgery.

Keywords: Craniocerebral Trauma; Decompressive Craniectomy; Postoperative Complications; Risk Factors.