摘要
目的分析中颅底骨折及相关并发症的临床特点,探讨其治疗方法。方法对该院2014年5月—2018年5月期间收治的80例中颅底骨折病例进行回顾性分析,观察80例患者并发症的发生情况及其临床特点,总结中颅底骨折及其不同并发症的治疗情况。结果 80例患者中76例出现并发症,并发症发生率为95.00%;根据并发症进行针对性治疗,最终70例痊愈出院,10例遗留不同程度的并发症。结论中颅底骨折的情况复杂,容易发生脑脊液漏、颅内积气、脑血管损伤、神经损伤、面瘫、颈内动脉海绵窦漏等并发症。绝大多数中颅底骨折合并脑脊液漏、面听神经损伤等情况可行保守治疗,但对于严重并发症则需要尽早确定损伤部位,实施对应的手术治疗,以帮助改善患者预后。
Objective To analyze the clinical characteristics of middle skull base fractures and related complications,and to explore its treatment methods.Methods Retrospective analysis of 80 cases of middle skull base fractures admitted to the hospital from May 2014 to May 2018.The incidence and clinical features of 80 patients with complications were summarized.Results Of the 80 patients,76 had complications,and the complication rate was 95.00%.According to the complication,targeted treatment was performed.In the end,70 patients were cured and 10 patients were left with different degrees of complications.Conclusion The condition of middle skull base fracture is complicated,and it is prone to complications such as cerebrospinal fluid leakage,intracranial gas accumulation,cerebrovascular injury,nerve injury,facial paralysis,and internal carotid cavernous sinus leakage.Most cases of middle skull base fracture combined with cerebrospinal fluid leakage and facial auditory nerve injury are feasible conservative treatment,but for serious complications,it is necessary to determine the injury site as soon as possible and implement corresponding surgical treatment to help improve the prognosis of patients.
作者
倪萌
高山
桂世涛
NI Meng;GAO Shan;GUI Shi-tao(Department of Neurosurgery,People's Hospital of Suzhou High-tech Zone,Suzhou,Jiangsu 215000,China)
出处
《系统医学》
2018年第24期116-118,共3页
Systems Medicine
关键词
中颅底骨折
并发症
临床特点
治疗经验
颅底重建
Middle skull base fracture
Complications
Clinical features
Treatment experience
Skull base reconstruction
