早期颅骨修补术治疗颅脑外伤术后颅骨缺损的临床疗效分析

Analysis of clinical effect of early skull repair in the treatment of skull defect after traumatic brain injury surgery

目的:分析针对颅脑外伤术后颅骨缺损患者运用早期颅骨修补术的治疗效果。方法:选择2018年3月-2019年3月收治的颅脑外伤术后颅骨缺损56例患者作为试验组,采用早期颅骨修补术治疗;另选同期56例接受晚期颅骨修补术患者作为对照组。对比两组患者治疗效果以及术后并发症发生率,采用早期颅骨修补术治疗。结果:试验组KPS评分为(81.64±12.76)分,相较于对照组(72.54±14.32)分明显升高。优良率方面试验组(82.14%)较对照组(71.43%)更高,差异有统计学意义(P<0.05)。试验组并发症发生率(5.35%)较对照组(14.28%)更低,差异有统计学意义(P<0.05)。结论:颅脑外伤术后颅骨缺损患者接受早期颅骨修补术治疗,效果更佳,较行晚期颅骨修补术患者疗效更为显著。

Objective:the purpose of this paper is to analyze the therapeutic effect of early cranioplasty on patients with skull defect after craniocerebral trauma.Methods:56 patients who came to our hospital from March 2018 to March 2019 for treatment of skull defect after craniocerebral trauma were selected as the test objects in this experiment.All patients underwent early skull repair and were listed as the experimental group.Another 50 patients who received late cranioplasty in the same period were selected as the control group.The treatment effect and the incidence of adverse reactions were compared between the two groups.Results:the KPS score of the experimental group was(81.64±12.76),which was higher than that of the control group(72.54±14.32).In terms of the excellent and good rate,the KPS score of the experimental group was also higher than that of the control group(71.43%).The data difference between the groups was significant(P<0.05).The incidence of complications in the experimental group(5.35%)was lower than that in the control group(14.28%),and the data difference between the two groups was significant(P<0.05).Conclusion:the effect of early cranioplasty is better than that of late cranioplasty.