去骨瓣减压术后创伤性脑积水危险因素研究进展

doi:10.12677/acm.2026.1682825

期刊菜单

去骨瓣减压术后创伤性脑积水危险因素研究进展
Research Progress on Risk Factors for Traumatic Hydrocephalus after Debridement and Decompression Surgery

DOI: 10.12677/acm.2026.1682825, PDF,
作者: 郭帅：延安医学院，陕西延安
关键词: 去骨瓣减压术；创伤性脑积水；危险因素；颅脑损伤；Decompressive Craniectomy； Traumatic Hydrocephalus； Risk Factors； Craniocerebral Injury

摘要: 去骨瓣减压术(decompressive craniectomy, DC)是重型颅脑创伤救治难治性颅内高压的重要术式，术后创伤性脑积水(post-traumatic hydrocephalus, PTH)是颅脑损伤后高发且显著阻碍患者预后恢复的严重并发症。本文基于PubMed、中国知网、中华医学会等数据库收录的真实临床研究、系统评价及Meta分析，系统总结DC术后PTH的危险因素，包括创伤严重程度、手术相关因素、术后并发症及患者基础状况，为临床早期识别、风险评估与精准干预提供循证依据。

Abstract: Decompressive craniectomy (DC) is an important surgical approach for treating refractory intracranial hypertension in severe traumatic brain injury. Post-traumatic hydrocephalus (PTH) is a common and serious complication that significantly affects prognosis. Based on real clinical studies, systematic reviews, and meta-analyses included in databases such as PubMed, CNKI, and the Chinese Medical Association, this article systematically summarizes the risk factors for PTH after DC, including the severity of trauma, surgical-related factors, postoperative complications, and the patient’s basic condition, providing evidence-based support for early identification, risk assessment, and precise intervention in clinical practice.

文章引用：郭帅. 去骨瓣减压术后创伤性脑积水危险因素研究进展[J]. 临床医学进展, 2026, 16(8): 548-554. https://doi.org/10.12677/acm.2026.1682825

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