Influencing factors of prognosis of acute intraoperative encephalocele in craniotomy of brain injury patients

Abstract

Objective To explore the influencing factors of acute intraoperative encephalocele in craniotomy of brain injury patients. Methods A retrospective analysis about 168 cases of acute encephalocele in craniotomy surgery in patients with clinical data and follow-up results, according to the Glasgow outcome scale (GOS) group: patients with GOS 1~3 were divided into poor prognosis group (control group), patients with GOS 4~5 were divided into good prognosis group (research group). The second component multiariable Logistic regression analysis method was used for the analysis of patient age, history of heart head blood-vessel, preoperative score (GCS), preoperative pupil, encephalocele reasons, whether reoperation, postoperative GCS score, postoperative pupil, postoperative blood coagulation indexes, blood sugar, etc. Results Good prognosis was observed in 33 cases and poor prognosis in 135. The postoperative GCS, reasons of encephalocele and age were closely related with the prognosis (P<0.05). Conclusions The overall prognosis of traumatic brain injury patients with acute encephalocele during craniotomy was poor. The postoperative GCS, reasons of encephalocele and age could be used as important indexes for prognosis evaluation. Key words: Traumatic brain injury; Encephalocele; Prognosis