早期颅骨修补术治疗颅脑外伤术后颅骨缺损的疗效

目的研究颅脑外伤术后颅骨缺损采取早期颅骨修补术治疗的效果。方法100例颅脑外伤术后颅骨缺损患者,采取随机数字表法分为研究组及对照组,各50例。研究组采取早期颅骨修补术治疗,对照组采取晚期颅骨修补术治疗。比较两组患者的预后效果、卡氏评分(KPS)、并发症发生率、手术时间、术中出血量。结果研究组患者的预后效果优于对照组,差异具有统计学意义(P<0.05)。研究组患者的KPS评分为(84.57±13.24)分,高于对照组的(72.13±13.67)分,差异具有统计学意义(P<0.05)。研究组患者的不良反应发生率8.00%低于对照组的30.00%,差异具有统计学意义(P<0.05)。两组患者的手术时间、术中出血量比较,差异无统计学意义(P>0.05)。结论颅脑外伤术后颅骨缺损患者采取早期颅骨修补术治疗,可提高预后效果,改善相关症状,降低并发症发生率,可较好的应用于颅脑外伤的治疗中。

The effect of early skull repair on skull defect after craniocerebral trauma surgery

Objective To study the effect of early skull repair on skull defect after craniocerebral trauma surgery.Methods A total of 100 patients with skull defect after craniocerebral trauma surgery were divided into research group and control group according to random numerical table,with 50 cases in each group.The research group was treated with early skull repair,and the control group was treated with late skull repair.The prognostic effect,Karnofsky performance score(KPS),occurrence of complications,operation time and intraoperative blood loss were compared between the two groups.Results The prognostic effect of the research group was better than that of the control group,and the difference was statistically significant(P<0.05).The KPS score of the research group was(84.57±13.24)points,which was higher than(72.13±13.67)points of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions 8.00%of the research group was lower than 30.00%of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in operation time and intraoperative blood loss between the two groups(P>0.05).Conclusion Early skull repair for patients with skull defects after craniocerebral trauma surgery can improve the prognosis,improve related symptoms,and reduce the incidence of complications.It can be used in the treatment of craniocerebral trauma.