Analysis Of The Risk Factors Of Hydrocephalus After Intracranial Aneurysm Clipping

BackgroundIntracranial aneurysm is a neoplastic lesion formed by the limited expansion of vascular wall structure,which is the main cause of spontaneous subarachnoid hemorrhage,accounting for about 50%-85%,with high morbidity and high mortality.Craniotomy clipping is one of the main methods of treatment of intracranial aneurysms,postoperative hydrocephalus is one of the complications,postoperative nerve function in patients with hydrocephalus caused damage,seriously affect the prognosis of patients,so find out and closely monitor patients with risk factors for hydrocephalus,and quickly respond,minimizes potential harm of hydrocephalus is of great significance.ObjectiveTo investigate the risk factors of hydrocephalus after craniotomy for aneurysmclipping.MethodsCollecting the clinical data of 109 patients after “craniotomy aneurysm clipping” at the Shangqiu First People's Hospital from January 2014 to December 2018:Among the 109 patients,CT reexamination confirmed hydrocephalus in 23 cases.Hydrocephalus group and non-hydrocephalus group according to whether hydrocephalus occurred after operation,the related indicators were analyzed by Chi-square test,and the factors with statistical significance were included in the multi-factor Logistic regression model to determine the risk factors.ResultsSmoking,postoperative deboning flap,preoperative acute hydrocephalus,postoperative intracranial infection,and modified Fisher classification were statistically significant(P<0.05);the above factors were included in the multivariate logistic model,postoperative deboned flaps [OR = 7.397,95% CI(1.942-28.179)],the improved Fisherclassification [OR = 5.774,95% CI(1.667-19.997)],smoking [OR = 4.0257,95% CI(1.216-13.319)],and preoperative acute hydrocephalus [OR = 7.243,95% CI(1.429-36.704)] are the independent risk factor for hydrocephalus after aneurysm clipping.Conclusion Postoperative deboning flap,improved Fisher classification,smoking,and preoperative acute hydrocephalus are independent risk factors for hydrocephalus after craniotomy aneurysm clipping,which provides a basis for the prevention and treatment of hydrocephalus after craniotomy aneurysm clipping.