后颅窝开颅手术保留骨瓣的临床研究  

Clinical Research of Posterior Fossa Craniotomy with Bone Flaps Retaining

作　　者：张瑞剑 苏宁 韩志桐 

机构地区：[1]内蒙古自治区人民医院神经外科,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2016年第8期941-943,共3页Inner Mongolia Medical Journal

基　　金：内蒙古自治区卫生和计划生育委员会科研立项(项目编号201302007)

摘　　要：目的探讨后颅窝开颅手术保留骨瓣的临床效果。方法本组研究的103例后颅窝开颅手术患者均为医院在2013年7月到2015年5月期间收治,将其按照手术方式的不同分为观察组52例和对照组51例,观察组实施后颅窝骨瓣成形术,对照组患者进行传统骨窗开颅手术治疗,对比两组患者的并发症发生率以及术后生活质量。结果观察组并发症发生率为1.92%,生活质量评分为(90.47±4.32)分;对照组并发症发生率为37.25%,生活质量评分为(67.92±7.63)分。两组患者并发症发生率以及生活质量评分的组间比较差异都有统计学意义。结论后颅窝开颅手术保留骨瓣的临床效果显著,患者并发症发生率比较低,其生活质量有显著提高,值得在临床上推广使用。Objective To explore the clinical effect of posterior cranial fossa craniotomy to retain bone flap. Method In this study, 103 cases of posterior fossa craniotomy patients were treated in the hospital during July 2013 to May 2015. The patients were divided into observation group 52 cases and control group 51 cases. The observation group received posterior fossa reconstruction, the control group was treated with traditional craniotomy without reconstruction. And the complication rate and quality of life of the two groups were com- pared. Result The observation group complication rate was 1.92 %, the quality of life score（90.47 ＋ 4.32） ; The control group complication rate was 37.25%, the quality of life score（67.92 _＋ 7.63） points. The two groups were statistically significantly differences in the complications and the quality of life score. Conclusion The clinical effect of posterior cranial fossa craniotomy with retaining bone flap is significant, the incidence of complications is low, the quality of life of patients is significantly improved, it is worth to be popularized in clin- ic.

关 键 词：后颅窝开颅手术 保留骨瓣 后颅窝骨瓣成形术 传统骨窗开颅手术 

分 类 号：R651.1[医药卫生—外科学]