颅脑损伤去骨瓣减压术后早期和晚期颅骨修补治疗颅骨缺损的效果对比

Comparison on the Effects of Early and Late Cranioplasty for the Treatment of Skull Defect After Decompressive Craniectomy for Craniocerebral Trauma

目的比较颅脑损伤去骨瓣减压术后早期和晚期颅骨修补治疗颅骨缺损的效果。方法随机选取我院2015年1月至2016年6月收治的72例颅脑损伤去骨瓣减压术后患者,将行早期颅骨修补术的36例患者作为观察组,将行常规颅骨修补术的36例患者作为对照组,对两组的治疗效果进行对比分析。结果治疗后,观察组的NIHSS评分显著低于对照组(P<0.05);观察组的并发症发生率显著低于对照组(P<0.05);随访1年后,观察组的预后优良率显著高于对照组(P<0.05)。结论对颅脑损伤去骨瓣减压术后患者行早期颅骨修补术,能够明显提高患者的神经功能,有效减少术后并发症,改善患者预后。

Objective To compare the effects of early and late cranioplasty for the treatment of skull defect after decompressive craniectomy for craniocerebral trauma. Methods 72 cases of patients with craniocerebral trauma underwent decompressive craniectomy in our hospital from January 2015 to June 2016 were randomly selected. After surgery, 36 patients with early cranioplasty were set as the observation group, and 36 cases of patients with routine cranioplasty were set as the control group. The therapeutic effects of two groups were compared and analyzed. Results After trealment, the NIHSS score of observation group was significantly lower than that of control group （P〈0.05）. The incidence of complications of observation group was significantly lower than that of control group （P〈0.05）. After 1 year＇s follow-up, the excellent and good rate of prognosis of observation group was significantly higher than that of control group （P 〈0.05）. Conclusions Early cranioplasty for patients with craniocerebral trauma after decompressive craniectomy can obviously improve the neurological fimction of patients, effectively reduce the postoperative complications and improve the prognosis of patients.