颅骨缺损患者术后早期和晚期颅骨修补治疗的临床研究  

Clinical Study of Early and Late Cranioplasty in Patients With Skull Defect

作　　者：刘明[1] 李浩[1] 刘檬 LIU Ming;LI Hao;LIU Meng(Neurosurgery Department,Jilin Provincial Avant-garde Hospital,Changchun Jilin 130012,China;Department of Foot Surgery,the Second Hospital of Jilin University,Changchun Jilin 130022,China)

机构地区：[1]吉林省前卫医院神经外科,吉林长春130012 [2]吉林大学第二医院足外科,吉林长春130022

出　　处：《中国卫生标准管理》2020年第14期87-88,共2页China Health Standard Management

摘　　要：目的探讨颅骨缺损患者术后早期和晚期颅骨修补治疗的临床研究。方法随机抽取2017年9月—2018年9月的60例颅骨缺损患者,按照随机数表法分为观察组、对照组,每组30例。观察组给予经颅脑外伤去骨瓣减压术后早期修补治疗,对照组给予经颅脑外伤去骨瓣减压术后晚期颅骨修补治疗,对比治疗效果。结果治疗后观察组运动功能评分、日常生活活动能力评分均高于对照组(P<0.05);治疗后观察组神经功能评分低于对照组(P<0.05)。结论颅骨缺损患者经颅脑外伤去骨瓣减压术后早期颅骨修补治疗具有更好的治疗效果,可降低脑神经损伤程度,促进功能恢复,改善预后。Objective To investigate the clinical study of early and late cranioplasty in patients with skull defect.Methods A total of 60 patients with skull defect from September 2017 to September 2018 were randomly selected and divided into observation group and control group according to the random number table,with 30 cases in each group.The observation group was given early repair treatment after decompression of bone flap after craniocerebral trauma,while the control group was given late cranial repair treatment after decompression of bone flap after craniocerebral trauma,and the treatment effect was compared.Results After treatment,the scores of motor function and activity ability of daily life in the observation group were higher than those in the control group(P<0.05).Neurological function score in the observation group was lower than that in the control group(P<0.05).Conclusion Early cranioplasty after decompressive craniectomy for patients with skull defect has better therapeutic effect,which can reduce the degree of brain nerve injury,promote functional recovery and improve the prognosis.

关 键 词：颅骨缺损 颅脑外伤去骨瓣减压术 颅骨修补 早期 晚期 运动功能评分 

分 类 号：R651[医药卫生—外科学]