类马赛克肌骨瓣一次性颅骨成形减压术63例

63 cases of primary mosaic - shaped musculoskeletal flap for cranioplasty combine intracranial decompression

目的 探讨重型颅脑损伤病人有效的手术减压方法。方法 将同期住院确诊重型颅脑损伤合并颅内血肿患者123例随机分为实验组和对照组,分别于术后1周连续监测颅内压并对结果进行统计学分析及预后评价。结果 两组患者颅内压监测结果、死亡率无显著差异(P>0.05),但实验组轻、中度残疾者比率及术后癫痫等并发症发生率显著低于对照组(P<0.05)。结论 类马赛克肌骨瓣一次性颅骨成形减压术能够获得明显的减压效果,显著降低术后并发症,且避免了二次颅骨成形术。

Objective To explore the effective decompression of severe craniocerebral injury. Methods Patients which with severe craniocerebral injury and intracranial hematoma were divided into experimental group (EG) and control group (CG) randomly ,then continue monitored their intracranial pressure within the first week since the operation , and evaluated the prognosis . All data were operated with statistical methods. Results The ICP and mortality of EG and CG there were no statistical difference (P >0.05), but the rate of mild , moderate disable and complication such as post - operation epilepsy in EG were lower than CG significantly (P< 0.05}. Conclusion Primary Mosaic - shaped musculoskeletal flap for cranioplasty combine decompression can reduce ICP and rate of post - operation complication , avoid secondary operation.