早期颅骨修补手术治疗脑外伤的临床疗效  

Clinical Effect of Early Cranioplasty on Patients with Brain Trauma

作　　者：冯晓东[1] FENG Xiaodong(Taicang First People's Hospital,Taicang,Jiangsu 215400,China)

机构地区：[1]太仓市第一人民医院,江苏太仓215400

出　　处：《大医生》2019年第16期170-171,共2页Doctor

摘　　要：目的探讨早期颅骨修补手术治疗脑外伤的临床疗效。方法选取2016年4月至2018年12月收治的90例脑外伤患者,根据手术方式不同分为两组,每组45例。传统手术组开展传统手术治疗,早期颅骨修补手术组开展早期颅骨修补手术联合脑室腹腔分流手术。比较两组患者临床疗效、住院时间、手术前后患者格拉斯哥昏迷评分以及神经功能、生活质量;分流管堵塞及感染发生率。结果早期颅骨修补手术组临床疗效、手术后格拉斯哥昏迷评分以及神经功能、生活质量、住院时间、分流管堵塞、感染发生率均明显优于传统手术组(P<0.05)。结论脑外伤患者行早期颅骨修补手术联合脑室腹腔分流手术效果确切,可有效减少并发症的发生,改善神经功能和昏迷,提高患者生活质量,缩短住院时间。Objective To explore the clinical effect of early cranioplasty in the treatment of brain trauma.Methods Ninety patients with brain injury from April 2016 to December 2018 were divided into two groups according to operation,45 cases per group.The traditional operation group received traditional surgical treatment,and the early cranioplasty group received early cranioplasty combined with ventriculoperitoneal shunt surgery.The clinical effect,hospitalization days,Glasgow coma score before and after surgery,as well as neurological function,quality of life;incidence of shunt blockage,infection were compared between the two groups.Results The clinical effect,post-operative Glasgow coma score,nerve function,and quality of life,hospitalization days,shunt blockage and infection of the early cranioplasty group were significantly better than those of traditional operation group(P<0.05).Conclusion Early cranioplasty combined with ventriculoperitoneal shunt can effectively reduce the incidence of complications,improve neurological function and coma as well as the quality of life of patients and shorten the hospital stay.

关 键 词：早期颅骨修补手术 脑外伤 临床疗效 神经功能 

分 类 号：R65[医药卫生—外科学]