早期颅骨修补与晚期颅骨修补手术的疗效分析  

Analysis of the Curative Effect of Early Skull Repair and Late Skull Repair

作　　者：邵东传 吴钧[1] 刘俊[1] 普快荣 赵楠[1] 李进[1] 陈曦 马钢[1] SHAO Dong-chuan;WU Jun;LIU Jun;PU Kuai-rong;ZHAO Nan;LI Jin;CHEN Xi;MA Gang(Department of Neurosurgery,The FirstHospital of Kunming,Kunming 650034,Yunnan,China)

机构地区：[1]昆明市第一人民医院神经外科,云南昆明650034

出　　处：《医学信息》2021年第12期127-129,共3页Journal of Medical Information

基　　金：云南省卫生科技计划项目(编号:2018NS0168)。

摘　　要：目的探讨不同时期行颅骨修补的安全性和可行性。方法回顾性分析昆明市第一人民医院神经外科2014年1月~2020年8月收治的233例行颅骨修补的患者的临床资料,根据颅骨修补的时机将其分为早期组(术后≤3个月,78例)与晚期组(术后>3个月,155例);比较两组术后感染、脑出血、癫痫、脑积水发生率及术后住院天数、术中失血量及手术时间。结果两组术后感染、脑出血、癫痫、脑积水发生率及并发症总发生率比较,差异均无统计学意义(P>0.05);两组术后住院天数、术中失血量及手术时间比较,差异均无统计学意义(P>0.05)。结论早期颅骨修补较晚期颅骨修补并未增加患者并发症的发生率,且也未增加住院时间、术中出血量及手术时间,故建议临床应用早期行颅骨修补术。Objective To explore the safety and feasibility of skull repair in different periods.Methods A retrospective analysis of the clinical data of233 cases of skull repair patients admitted to the Department of Neurosurgery of the First Hospital of Kunming from January 2014 to August 2020.According to the timing of skull repair,they were divided into early group(≤3 months after operation,78 cases)and late group(>3 months after operation,155 cases);The incidence of postoperative infection,cerebral hemorrhage,epilepsy,hydrocephalus,postoperative hospital stay,intraoperative blood loss and operation time were compared between the two groups.Results There was no significant difference in the incidence of postoperative infection,cerebral hemorrhage,epilepsy,hydrocephalus,and the total incidence of complications between the two groups(P>0.05);There was no statistically significant difference in the number of days of hospitalization,intraoperative blood loss and operation time between the two groups(P>0.05).Conclusion Early skull repair did not increase the incidence of complications,nor did it increase the hospitalization time,intraoperative blood loss and operation time.Therefore,it is recommended that early skull repair be used in clinical practice.

关 键 词：去骨瓣减压术 颅骨修补 脑积水 脑出血 

分 类 号：R651.1[医药卫生—外科学]