早期颅骨修补术治疗颅脑外伤术后颅骨缺损的价值研究  

Study on the Value of Early Cranioplasty in the Treatment of Skull Defect after Craniocerebral Trauma

作　　者：孙永全 SUN Yongquan(Department of Neurosurgery,The Second People's Hospital of Xining,Xining 810000,Qinghai,China)

机构地区：[1]青海省西宁市第二人民医院神经外科,青海西宁810000

出　　处：《系统医学》2025年第2期134-136,140,共4页Systems Medicine

摘　　要：目的 评估早期颅骨修补术在颅脑外伤后颅骨缺损患者中的临床疗效。方法 回顾性选取青海省西宁市第二人民医院于2019年2月—2024年2月收治的50例颅脑外伤术后颅骨缺损患者的临床资料,按手术方法不同分为两组,各25例。参照组采用去骨瓣减压后行晚期颅骨修补术治疗,研究组采用去骨瓣减压后行早期颅骨修补术治疗。对比两组自理能力评估量表、格拉斯哥昏迷、美国国立卫生研究院卒中量表、格拉斯哥预后量表评分与术后并发症发生情况。结果 治疗后,研究组自理能力评估量表、格拉斯哥昏迷、美国国立卫生研究院卒中量表、格拉斯哥预后量表评分均优于参照组,差异有统计学意义(P均<0.05)。研究组术后并发症总发生率为4.00%(1/25),低于参照组的32.00%(8/25),差异有统计学意义(χ^(2)=6.640,P<0.05)。结论早期颅骨修补术应用于颅脑外伤术后颅骨缺损患者,可改善患者神经功能,提升日常生活能力。Objective To evaluate the clinical efficacy of early cranioplasty in patients with skull defect after craniocerebral trauma.Methods The clinical data of fifty patients with skull defect after craniocerebral trauma admitted to The Second People's Hospital of Xining City,Qinghai Province from February 2019 to February 2024 were retrospectively selected.They were divided into two groups according to different surgical methods,twenty-five cases in each group.The reference group was treated with late skull repair after decompressive craniectomy,and the study group was treated with early skull repair after decompressive craniectomy.The scores of self-care ability assessment scale,Glasgow Coma Scale,National Institutes of Health Stroke Scale,Glasgow Outcome Scale and postoperative complications were compared between the two groups.Results After treatment,the scores of self-care ability assessment scale,Glasgow Coma Scale,National Institutes of Health Stroke Scale and Glasgow Outcome Scale in the study group were better than those in the reference group,and the differences were statistically significant(all P<0.05).The total incidence of postoperative complications in the study group was 4.00%(1/25),which was lower than 32.00%(8/25)in the reference group,and the difference was statistically significant(χ^(2)=6.640,P<0.05).Conclusion Early cranioplasty is applied to patients with skull defect after craniocerebral trauma,which can improve the neurological function and daily living ability of patients.

关 键 词：早期颅骨修补术 颅脑外伤术后颅骨缺损 Barthel指数评分 格拉斯哥昏迷指数评分 美国国立卫生研究院卒中量表评分 格拉斯哥预后量表评分 术后并发症 

分 类 号：R651[医药卫生—外科学]