30例颅脑损伤大骨瓣减压术后早期颅骨修补临床体会

Clinical Experience of Early Postoperative Skull Repair in 30 Patients With Traumatic Brain Injury After Large Bone Flap Decompression

目的探讨颅脑损伤大骨瓣减压术后早期颅骨修补临床效果。方法我院从2008年6月~2015年7月共收治30例因颅脑损伤给予大骨瓣减压术后导致颅骨缺损的患者,3个月左右应用颅骨修补术。结果本组患者均顺利完成手术,其中临床恢复良好患者25例,头皮下积液4例,修补材料外露1例。结论颅脑损伤大骨瓣减压术后早期实施颅骨修补术可改善临床症状。

Objective To investigate the clinical effect of early cranioplasty after brain injury large decompressive craniectomy. Methods 30 cases of traumatic brain injury patients were admitted from June 2008 to July 2015 in our hospital, and received large decompressive craniectomy, then within 3 months they received cranioplasty. Results All patients successfully completed surgery, among them 25 patients with good clinical outcomes, 4 cases with scalp effusion and 1 case of repair materials exposure. Conclusion Implementing early cranioplasty after brain injury large decompressive craniectomy can significantly improve clinical outcomes.