早期颅骨修补术治疗颅脑创伤术后颅骨缺损的临床效果观察

Observation of clinical effect of early cranioplasty on the cranial defects after craniocerebral trauma

目的:研究颅脑创伤手术后颅骨缺损患者实施早期颅骨修补术的治疗效果。方法:2017年8月-2019年8月收治颅脑创伤术后颅骨缺损患者30例,随机分为两组,各15例。试验组实施早期颅骨修补术治疗;对照组实施晚期颅骨修补术治疗。比较两组治疗效果。结果:试验组患者治疗优良率、神经功能缺损评分、日常生活能力评分、手术时间、术中出血量、颅骨缺损面积及并发症发生率均优于对照组,差异有统计学意义(P<0.05)。结论:采取早期颅骨修补术治疗颅脑创伤术后颅骨缺损,效果显著,可加快预后恢复,且安全性高。

Objective:To study the effect of early cranioplasty for cranial defects after craniocerebral trauma.Methods:From August 2017 to August 2019,30 patients with cranial defects after craniocerebral trauma were selected and they were randomly divided into the two groups with 15 patients in each group.The experimental group carried out early cranioplasty.The control group carried out late cranioplasty.The therapeutic effects between the two groups were compared.Results:The excellent and good rate of patient's treatment,neurological function defect score,daily living ability score,operative time,volume of intraoperative blooding loss,cranial defect area and incidence of complication in the experimental group were all better than the control group,the differences were statistically significant(P<0.05).Conclusion:Early cranioplasty for cranial defects after craniocerebral trauma is effective,and it can speed up the recovery of prognosis,and the safety is high.