外伤性颅骨缺损修补时机的选择

THE CHOICE OF REPAIRING TIME IN TREATMENT OF TRAUMATIC CRANIAL DEFECT

目的:探讨外伤性颅骨缺损早期修补对改善患者生活质量的影响。方法:使用1997年由赵继宗在第二届全国颅脑外伤会议上正式提出的改良功能生活指数(Revised functional living index,RFLI)量表,对68例外伤性颅骨缺损患者伤后不同时期生活质量进行评估,比较早期(伤后3个月内)及晚期(伤后6个月后)颅骨修补对患者生活质量的影响。结果:早期组在伤后1年及2年生活质量较晚期组明显上升,而且上升幅度非常显著(P<0.01)。结论:外伤性颅骨缺损患者早期颅骨修补不仅能解除颅骨缺损带来的精神负担,而且可以终止或逆转颅骨缺损而造成的继发性脑损害,从而提高患者生活质量。

Objective： To study the life quality improvement of patients with traumatic cranial defect after using cranioplasw in early stage.Method： Life ClUaliw of 68 cases with traumatic cramial defect were evaluated in different stage by Revised Fuctional Living Index （RFLI） which was introduced by Zhang Jizong in 1997, and the life quality of cranioplasW patients in early stage （within 3months） was compared with that in late stage （more than 6months）. Results： The life quality was better in early stage operation group than in late stage operation group （P〈0.01） in lto 2 years after trauma.Conclusion： The early stage cranioplasty for cases with tranmatic cramial defect can relieve mental load, as well as reverse secondary cerebral lesion and improve life quality.