ĐÁNH GIÁ BIẾN CHỨNG CỦA PHẪU THUẬT TẠO HÌNH KHUYẾT SỌ BẰNG 3D TITANIUM: TỶ LỆ VÀ CÁC YẾU TỐ LIÊN QUAN

Abstract

Objective: To evaluate complications of 3D Titanium cranioplasty after craniectomy and identify risk factors related to these complications. Subject and method: Retrospective cohort study of 44 patients from June 2019 to June 2023,who had undergoing craniectomy followed by cranioplasty using 3D Titanium at Saint Paul General Hospital. All patients were followed up to at least  6 months after cranioplasty and complications were recorded both by imaging and clinically. The major complications were recorded and evaluated in relation to a number of risk factors: Reason for craniectomy, comorbidities (hypertension, diabetes mellitus, anticoagulation), location of cranioplasty, duration from decompressive craniectomy to cranioplasty. Algorithms used for analysis include Student's t-test, Chi-square tests and Fisher's exact tests. The confidence interval was calculated as 95%. Results: The overall complication rate after surgery was 29,54%.  Common complications included: Epidural hematoma (11,36%), subdural hematoma (9,09%), Some related factors: The early cranioplasties (within 3 months) has a lower complication rate, cranioplasty from 3 to 6 months from craniectomy results in the low complication rate and shorter postoperative hospital stay.Patients with an age range of 31-60 years or a primary cause of trauma tend to be hospitalized and have a higher rate of complications and postoperative hospital stay. Conclusion: Although cranioplasty using 3D Titanium is a simple surgery procedure, it is often has a relatively high complication rate. Control of a a patient's risk factors and recognizing complications may help practitioners avoid the complications.