颅脑外伤去骨瓣减压术后早期和晚期颅骨修补治疗颅骨缺损的效果对比  

Comparison on the Effects of Early and Late Skull Repair in the Treatment of Skull Defect after Craniocerebral Trauma Decompressive Craniectomy

作　　者：刘克君[1] 姚晓腾[1] LIU Kejun,YAO Xiaoteng(Department of Neurosurgery, Huizhou First People’s Hospital,Huizhou 516000, Chin)

机构地区：[1]惠州市第一人民医院神经外科,广东惠州516000

出　　处：《临床医学工程》2018年第5期653-654,共2页Clinical Medicine & Engineering

摘　　要：目的对比颅脑外伤去骨瓣减压术后早期和晚期颅骨修补治疗颅骨缺损的效果。方法选取我院2011年1月至2017年1月收治的180例行去骨瓣减压术的颅脑外伤患者,按照术后颅骨修补时间分为实验组(≤3个月,早期修补)和对照组(>3个月,晚期修补)各90例。比较两组患者的术后并发症情况、GOS评分和KPS评分。结果实验组的术后并发症发生率为2.22%,明显低于对照组的10.0%(P<0.05)。实验组术后GOS、KPS评分分别为(4.17±0.85)分、(80.33±16.21)分,均明显高于对照组的(3.64±0.71)分、(70.18±16.26)分(P<0.05)。结论与晚期颅骨修补相比,颅脑外伤去骨瓣减压术后早期颅骨修补可改善患者的神经功能,降低并发症发生率,改善预后。Objective To compare the effects of early and late skull repair in the treatment of skull defect after craniocerebral trauma decompressive craniectomy. Methods 180 cases of patients with craniocerebral trauma undergoing decompressive craniectomy in our hospital from January 2011 to January 2017 were selected and divided into experimental group（≤3 months, early repair） and control group（〉3 months, late repair） according to the time of postoperative skull repair, with 90 cases in each group. The postoperative complications,GOS and KPS scores were compared between the two groups. Results The incidence of postoperative complications of the experimental group was 2.22%, significantly lower than 10.0% of the control group（P 〈0.05）. The GOS and KPS scores after surgery of the experimental group were respectively（4.17 ± 0.85） points and（80.33 ± 16.21） points, significantly higher than（3.64 ± 0.71） points and（70.18 ± 16.26）points of the control group（P 〈0.05）. Conclusions Compared with late skull repair, early skull repair after craniocerebral trauma decompressive craniectomy can improve patients’ neurological function, reduce the incidence of complications, and improve the prognosis.

关 键 词：去骨瓣减压术 颅脑外伤 颅骨修补 颅骨缺损 

分 类 号：R651.1[医药卫生—外科学]