早期颅骨修补术治疗颅脑外伤术后颅骨缺损的临床疗效

目的分析并探讨早期修复颅脑外伤术后缺损的颅骨对患者预后的影响。方法分别随机抽取行早期颅骨修补术(早期组)和晚期颅骨修补术(晚期组)的患者各28例,对比两组患者术后2个月时的神经功能恢复情况及术后不良反应发生情况。结果早期组术后2个月时KPS评分为(81.69±12.68)分,明显优于晚期组的(71.56±14.3)分(P<0.05);同时早期组GOS预后评价同样优于晚期组(P<0.05);而在并发症方面比较,早期组为5例,晚期组为6例,两组差异无统计学意义(P>0.05)。结论颅脑外伤术后颅骨缺损应用早期颅骨修复术治疗疗效明显优于晚期颅骨修复术治疗。

Clinical observation on post-operative craniocerebral trauma skull defect in the treatment of early cranioplasty

Objective To analyse and explore the effect of early skull defect repair after eraniocerebral trauma operation on prognosis of the patients. Methods Randomly selected in our hospital early cranioplasty（early group） and late cranioplasty （late group） of the 28 cases, respectively,and recovery and postoperative neurological function were compared between two groups after 2 months when the incidence of adverse reaction. Results The early group 2 months after operation the KPS score （81.69±12.68） points,significantly better than the late group （71.56±14. 3） points （P〈0.05）;the early group GOS prognostic evaluation also was better than the late group （P〈0.05）; complications compared with the early group of five cases, the late group of six cases. The two groups showed no significant difference（P〉0.05）. Conclusion The application of post-operative craniocerebral trauma skull defect in the treatment of early cranioplasty is better than late cranioplasty.