烟雾病颅内血管重建术后头皮切口愈合不良因素分析
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1.宜春市人民医院,江西 宜春 336000;2.南昌大学第一附属医院,江西 南昌 330006

作者简介:

袁雄(1992-),男,硕士,宜春市人民医院,江西省宜春市宜阳新区锦绣大道1061号,336000
张心勇(1990-),男,硕士,南昌大学第一附属医院,江西省南昌市东湖区永外正街17号,330006
宋事竑(1991-),男,硕士,南昌大学第一附属医院,江西省南昌市东湖区永外正街17号,330006
曾而明(1973-),男,博士,南昌大学第一附属医院,江西省南昌市东湖区永外正街17号,330006。

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Factors for poor healing of scalp incision after cerebral revascularization for moyamoya disease
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Affiliation:

1.Yichun People’s Hospital, Yichun, Jiangxi 336000, China;2.The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, China

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    摘要:

    目的 研究烟雾病颅内血管重建术后头皮切口愈合不良的因素,为降低其发生的概率提供一定的依据。方法 收集2012年1月—2018年12月在南昌大学第一附属医院确诊为烟雾病并行颅内血管重建术的患者资料397例,根据切口愈合不良诊断标准,将切口愈合不良者作为观察组,愈合良好者作为对照组。整理两组患者资料,愈合不良的影响因素采用二项Logistic回归分析。结果 多因素分析显示,高血压病史、未保留颞浅动脉额支、手术时间长与术后切口愈合不良的发生呈正相关,并且高血压病史的影响最显著。结论 高血压病史、未保留颞浅动脉额支、手术时间长是烟雾病行颅内血管重建术后头皮切口愈合不良的主要因素。

    Abstract:

    Objective To investigate the factors for poor healing of scalp incision after cerebral revascularization for moyamoya disease, and to provide a basis for reducing its probability of occurrence.Methods A retrospective analysis was performed for the clinical data of 397 patients who were diagnosed with moyamoya disease and underwent cerebral revascularization in The First Affiliated Hospital of Nanchang University from January 2012 to December 2018, and according to the diagnostic criteria for poor incision healing, the patients were divided into observation group (patients with poor incision healing) and control group (patients with good incision healing). Related clinical data were analyzed, and a binomial logistic regression analysis was performed to investigate the influencing factors for poor healing.Results The multivariate analysis showed that history of hypertension, unreserved frontal branch of the superficial temporal artery, and long time of operation were positively correlated with poor incision healing after surgery, among which history of hypertension had the most significant influence.Conclusions History of hypertension, unreserved frontal branch of the superficial temporal artery, and long time of operation are the main factors for poor healing of scalp incision after cerebral revascularization for moyamoya disease.

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袁雄,张心勇,宋事竑,曾而明456.烟雾病颅内血管重建术后头皮切口愈合不良因素分析[J].国际神经病学神经外科学杂志,2021,48(2):159-162111YUAN Xiong, ZHANG Xin-Yong, SONG Shi-Hong, ZENG Er-Ming222. Factors for poor healing of scalp incision after cerebral revascularization for moyamoya disease[J]. Journal of International Neurology and Neurosurgery,2021,48(2):159-162

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  • 收稿日期:2020-07-27
  • 最后修改日期:2020-12-21
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  • 在线发布日期: 2021-06-24
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