重型颅脑损伤后颅骨修补的临床分析

Clinical analysis on cranioplasty for severe brain injury

目的探讨重型颅脑损伤以及颅骨修补的临床治疗特点。方法回顾性分析2006年至2010年收治的60例重型颅脑损伤患者的临床资料,按照手术方式分为修补组和非修补组进行治疗。结果修补组患者的术后生活质量以及心理压力比非修补组好,P<0.05。结论对于重型颅脑损伤患者,应尽早采取措施改善其通气质量;并清除其颅内血肿、去大骨瓣以更好地减压;同时行亚低温治疗,维持内环境稳定,防治各种并发症等综合治疗,以显著改善重型颅脑损伤患者预后,及时为患者修补颅骨,提高其生活质量和改善其畏惧情绪。

Objective To investigate the clinical features of severe brain injury and cranioplasty.Methods Totally 60 patients with severe brain damage from 2006 to February 2010 were enrolled and divided into repair group and non-repair group.Their clinical data were retrospectively analyzed.Results The life quality and psychological condition were better in repair group than those in non-repair group,P0.05.Conclusion The ventilation quality should be improved as soon as possible and the intracranial hematoma as well as the large bone flaps should be cleared to achieve better decompression for patients with severe brain injury.Meanwhile parallel hypothermia treatment should be applied to maintain homeostasis,prevent complications and improve the prognosis.Timely repair of skull for patients with severe brain injury can eliminate their fear and improve their life quality.