早期颅骨修补在脑外伤治疗中的疗效分析

Analysis on curative effect of early cranioplasty for traumatic brain injury

目的:探讨早期颅骨修补术治疗脑外伤的临床效果。方法:选取2009年6月—2014年6月住院部82例需要进行脑室腹腔分流的颅骨修补患者作为研究对象,按照治疗方法的不同将其分为对照组和实验组,实验组患者予以早期颅骨修补术治疗,对照组患者予以晚期颅骨修补术治疗,观察对比两组患者临床治疗效果、术前术后神经功能评分以及并发症情况。结果:两组患者手术均成功完成。临床治疗效果比较,实验组明显优于对照组,差异有统计学意义(P<0.05);两组患者手术后神经功能评分以及总并发症率比较,实验组均优于对照组,差异有统计学意义(P<0.01)。结论:对脑外伤患者采取早期颅骨修补术治疗,可明显提高临床治疗效果,改善患者神经功能及意识,且并发症少,安全性高。

Objective：To discuss the effect of early cranioplasty for traumatic brain injury. Methods：Eighty - two cases with traumatic brain injury need ventriculoperitoneal shunt,from June 2009 to June 2014,according to the different treatment methods will be divided into control group and experimental group. Patients in experimental group were treated by early cranio-plasty,patients in control group were treated by late cranioplasty. To compare the clinical effect,preoperative and postoperative neurological function scores,complications in two groups. Results：Patients in the two groups were operated successfully. The clinical effect in experimental group better than control group,has statistically significant difference（ P 〈 0. 05）,function scores,complications in experimental group better than control group,has statistically significant difference（P 〈 0. 05）. Conclu-sion：Early cranioplasty for traumatic brain injury can significantly improve clinical outcomes,improve neurological function and awareness,and fewer complications,high safety.