摘要
目的探讨外伤性颅骨修补时机选择对改善患者生活质量的影响。方法将外伤性颅骨缺损患者74例根据颅骨缺损修补时间分为3组。早期组28例于一期手术后3个月内行颅骨修补术,中期组32例于一期手术后3～6个月行颅骨修补术,晚期组14例于一期手术6个月后行颅骨修补术。观察3组颅骨修补术后神经功能改善情况和术后并发症发生情况。结果早期组、中期组神经功能改善率高于晚期组(P<0.05),早期组和中期组改善率比较差异无统计学意义(P>0.05),早期组和中期组术后颅内感染、皮下积液及颅内血肿等并发症发生率均低于晚期组(P<0.05),早期组和中期组比较差异无统计学意义(P>0.05)。结论早期行颅骨修补术可更好地改善患者神经功能,从而提高患者生活质量。
Objective To explore the influence of the timing of traumatic skull defect repair to improve the life quali- ty of patient. Methods 74 cases of patients with traumatic skull defect were divided into three groups according to the skull defect repair time. The early group（28 cases） in a post-operative 3 months experted cranioplasty, the mid-group （32 cases） 3 to 6 months after a surgery operated cranioplasty,the late group（ 14 cases） 6 months after surgery underwent cranioplasty. Com- pared the improvement of neurological function after cranioplasty and postoperative complications of three groups. Results The improvement rate of neurological function of the early group and the mid-group were higher than the late group（ P 〈 0.05 ）. The difference between the early group and the mid-group was not statistically significant （ P 〉 0.05 ）. The complication rates of postoperative intracranial infection, subcutaneous fluid,intracranial hematoma and other complications were lower than the late group （P 〈 0.05 ）, the difference of the early group and the mid-group was not statistically significant（ P 〉 0.05 ）. Conclusion Early traumatic skull defect repair can improve neurological function and enhance the life quality of patient.
出处
《临床合理用药杂志》
2012年第22期32-33,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
颅脑损伤
去骨瓣减压术
颅骨修补
修补时机
Traumatic brain injury
Decompressive craniectomy
Cranioplasty
Repair opportunitie
