深冻颅骨瓣修补颅骨缺损的临床分析  

Clinical analysis of repairing skull defect with frozen skull flap at extremely low temperature

作　　者：李斌 彭冬明 林卫军 LI Bin;PENG Dongming;LIN Weijun(Department of Neurosurgery,Yugan County People′s Hospital of Jiangxi Province,Yugan,Jiangxi,335100;Department of Neurosurgery,Guangfeng District People′s Hospital of Shangrao City in Jiangxi Province,Shangrao,Jiangxi,334600)

机构地区：[1]江西省余干县人民医院神经外科,江西余干335100 [2]江西省上饶市广丰区人民医院神经外科,江西上饶334600

出　　处：《实用临床医药杂志》2021年第12期50-53,共4页Journal of Clinical Medicine in Practice

基　　金：江西省上饶市科技技术局科技指导计划项目(20194CKJ29)。

摘　　要：目的探讨深冻颅骨瓣修补颅骨缺损的临床效果。方法按照去骨瓣减压术后颅骨修补时间间隔将40例颅骨缺损患者分为早期组与晚期组,每组20例。早期组于去骨瓣减压术后12周内接受颅骨瓣修补术,晚期组于去骨瓣减压术后12周后接受颅骨瓣修补术。比较2组临床疗效、日常生活能力、预后及并发症发生情况。结果早期组治疗总有效率高于晚期组,并发症总发生率低于晚期组,差异有统计学意义(P<0.05);早期组Barthel指数(BI)评分、格拉斯哥预后量表(GOS)评分均高于晚期组,差异有统计学意义(P<0.05)。结论颅骨缺损患者早期行深冻颅骨瓣修补有利于提高治疗效果,恢复日常生活活动能力,降低并发症发生率,改善预后,安全性较好。Objective To investigate the clinical effect of repairing skull defect with frozen skull flap at extremely low temperature.Methods According to the cranial repair time interval after decompressive craniotomy,40 patients with skull defect were divided into early group and late group,with 20 cases in each group.Cranial flap repair was performed within 12 weeks after decompression in the early group,and after 12 weeks after decompression in the late group.The clinical efficacy,daily living ability,prognosis and incidence of complications were compared between the two groups.Results The total effective rate in the early group was significantly higher,and the total complication rate was significantly lower than that in the late group(P<0.05).Barthel index(BI)score and Glasgow Outcome Scale(GOS)score in the early group after surgery were significantly higher than those in the late group(P<0.05).Conclusion Early implementation of frozen skull flap repair at extremely low temperature for patients with skull defect is beneficial to improve the therapeutic effect,restore the ability of daily living,reduce the incidence of complications,improve the prognosis,and have good safety.

关 键 词：颅骨缺损 深冻颅骨瓣修补 早期 日常生活活动能力 并发症 

分 类 号：R682.1[医药卫生—骨科学] R651[医药卫生—外科学]