早期颅骨修补术治疗颅脑外伤术后颅骨缺损的效果

Effect of Early Cranioplasty in the Treatment of Cranial Defect after Craniocerebral Trauma

目的:探究早期颅骨修补术治疗颅脑外伤术后颅骨缺损的临床效果。方法:对2020年1月-2021年6月南方医科大学第七附属医院收治的50例颅脑外伤术后颅骨缺损患者的资料进行回顾性分析,根据治疗方法的不同将其分为观察组与对照组,每组25例。观察组实施早期颅骨修补术,对照组实施晚期颅骨修补术。比较两组预后、生存质量、神经功能和并发症方面的异同。结果:观察组术后1周预后优良率、Karnofsky评分(KPS)均高于对照组(P<0.05)。术后2周,两组美国国立卫生研究院卒中量表(NIHSS)评分较术前均降低,且观察组低于对照组(P<0.05)。观察组术后并发症发生率低于对照组(P<0.05)。结论:早期颅骨修补手术是治疗颅脑外伤术后颅骨缺损的更有效方法,此种手术方式对降低并发症发生风险、改善神经功能、提高患者的生存质量均有积极意义,有借鉴意义和推广的价值。

Objective:To explore the clinical effect of early cranioplasty in the treatment of skull defect after craniocerebral trauma.Method:From January 2020 to June 2021,the data of 50 patients with skull defect after craniocerebral trauma who admitted to the Seventh Affiliated Hospital of Southern Medical University were retrospectively analyzed,and they were divided into observation group and control group according to different treatment methods,25 cases in each group.The observation group underwent early cranioplasty,and the control group underwent late cranioplasty.The similarities and differences in prognosis,quality of life,neurological function and complications were compared between two groups.Result:The excellent and good prognosis rate and Karnofsky (KPS) score of the observation group at 1 week after operation were higher than those of the control group (P<0.05).At 2 week after operation,the National Institutes of Health stroke scale (NIHSS) scores in two groups were lower than those before operation,and the observation group was lower than that of the control group (P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05).Conclusion:Early cranioplasty is a more effective method for the treatment of skull defect after craniocerebral trauma,this surgical method has positive significance for reducing the risk of complications,improving neurological function and improving the quality of life of patients,and has reference significance and promotion value.