早期修复颅脑外伤术后缺损的颅骨对患者预后的影响

Early repair of craniocerebral defects after craniocerebral trauma on the prognosis of patients

目的探讨早期修复颅脑外伤术后缺损的颅骨对患者预后的影响。方法本研究回顾分析本院神经外科2016年1月至2017年12月之间收治100例颅脑外伤术后颅骨缺损患者的临床资料,随机分为对照组和试验组,每组50例。对照组实施晚期修复手术治疗,试验组实施早期修复手术治疗,比较两组患者预后情况。结果试验组患者临床治疗后,KPS评分结果高于对照组,GOS预后情况优于对照组,差异具有统计意义(P<0.05)。试验组并发症发生率为12.0%,对照组并发症发生率为62.0%,差异具有统计意义(P<0.05)。试验组患者手术时间、皮瓣游离时间明显短于对照组,且手术失血量明显少于对照组,差异具有统计意义(P<0.05)。结论颅脑外伤术后颅骨缺损患者接受早期修复手术治疗,能够有效改善患者的神经功能,降低并发症发生率,保证患者获得理想预后。

Objective To investigate the effect of early repair of skull defect after craniocerebral trauma on the prognosis of patients.Methods The clinical data of100patients with skull defect after craniocerebral trauma surgery in our hospital from January2016to December2017were retrospectively analyzed.They were randomly divided into control group and experimental group with50cases in each group.The control group was treated with late repair surgery,while the experimental group was treated with early repair surgery.The prognosis of the two groups was compared.Results After clinical treatment,the KPS score of the experimental group was significantly higher than that of the control group,and the GOS prognosis was significantly better than that of the control group.There was significant difference between the two groups(P<0.05).The incidence of complications was12.0%in the experimental group and62.0%in the control group.The difference was statistically significant(P<0.05).The operation time and free skin flaps of the experimental group were significantly shorter than those of the control group,and the blood loss was significantly less than that of the control group.The difference was statistically significant(P<0.05).Conclusion Early repair of skull defect after craniocerebral trauma can effectively improve the neurological function of patients,reduce the incidence of complications and ensure the ideal prognosis of patients.