Xu Xinke,Lin Haoming,Lin Wei,et al.Risk factors of secondary operation for craniosynostosis in children[J].Journal of Clinical Pediatric Surgery,,():125-129.[doi:10.3760/cma.j.cn101785-202312002-005]
Risk factors of secondary operation for craniosynostosis in children
- Keywords:
- Craniosynostoses; Surgical Procedures; Operative; Reoperation; Treatment Outcome; Root Cause Analysis; Child
- Abstract:
- Objective To explore the influencing factors of secondary operation after craniosynostosis in children.Methods From March 2016 to August 2023,the relevant clinical data were retrospectively reviewed for 133 children with craniosynostosis undergoing surgery.They were divided into primary surgery group and secondary surgery group according to whether they received the second surgery or not.Gender,age,type of craniosynostosis,operative approach,operative duration and volume of blood loss were recorded.The possible influencing factors of secondary operation were examined.Results Operation was one-time (n=119) and secondary (n=14).Univariate analysis suggested that the proportion of simple craniosynostomy in the secondary surgery group ［7(50.0%)］ was significantly higher than that in the single surgery group ［14(11.8%)］,and the difference was statistically significant (χ2=11.047,P=0.001); the age of the first surgery in the secondary surgery group［7.50(3.75,10.00)months］ was lower than that in the single surgery group ［11(6,25)months］,and the difference was statistically significant (Z=-2.39,P=0.017); the weight of the first surgery in the secondary surgery group ［6.75(6.00,8.25)kg］ was lower than that in the single surgery group ［9(7,11)kg］,and the difference was statistically significant (Z=-3.195,P=0.001); the time of the first surgery in the secondary surgery group ［120(73.75,185.00)min］ was lower than that in the single surgery group ［190(135,245)min］,and the difference was statistically significant (Z=-2.494,P=0.013); The first intraoperative blood loss in the secondary surgery group ［100(50,200)mL］ was lower than that in the simple surgery group ［200(100,300)mL］,and the difference was statistically significant (Z=-2.374,P=0.018).Further multivariate analysis showed that craniosynostomy alone may be a factor influencing the secondary operation (OR=4.406,95%CI:1.038-18.708,P=0.044).Conclusions Craniosynostosis is a common neurological congenital disease in children and surgery is efficacious.Surgical approach is an risk factor for secondary surgery.Simple suturectomy may require secondary operation and it should be properly considered in surgical planning.
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Memo
收稿日期:2023-12-1。
基金项目:广州市科技计划项目(2023A03J0897)
通讯作者:李方成,Email:sjwklfc@126.com