颅脑外伤去骨瓣减压术后早期行颅骨修补术的可行性分析

发布时间：2018-03-12 21:00

本文选题：颅骨缺损　切入点：颅骨修补　出处：《广西医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的观察颅脑外伤去骨瓣减压术后分别于早期和晚期行颅骨修补术对颅骨缺损患者术后神经恢复及并发症发生情况的影响,分析早期行颅骨修补手术的可行性。方法回顾性分析广西医科大学第一附属医院2012年11月至2015年2月期间收治的外伤性颅骨缺损患者43例,将颅脑外伤术后需行颅骨修补术的患者分为人数相近的两组,即早期组和晚期组,使用数字化三维塑形钛网进行颅骨修补手术,通过KPS评分和GOS评分比较两组患者的术后神经功能恢复情况,并对术后并发症发生情况进行分析。结果早期手术组患者KPS评分为(87.64±10.93)分,晚期手术组患者KPS评分为(74.26±13.47)分,两组相比较差异具有统计学意义(P0.05)；同时,对比早期组和晚期组GOS预后情况,前者优于后者,差异具有统计学意义(P0.05)。早期组术后并发症发生0例,晚期组为3例,亦提示早期手术优于晚期手术。结论在无明显手术禁忌症的情况下,尽快行颅骨修补手术治疗颅骨缺损更加有利于患者的神经功能恢复,减少术后并发症的发生率,值得在临床上广泛地推广应用。
[Abstract]:Objective to observe the effect of cranioplasty in the early and late stage of craniocerebral trauma after decompression of bone flap on nerve recovery and complications in patients with skull defect. Methods 43 patients with traumatic skull defect treated in the first affiliated Hospital of Guangxi Medical University from November 2012 to February 2015 were retrospectively analyzed. The patients who needed cranioplasty after craniocerebral trauma were divided into two groups: the early group and the late group. KPS score and GOS score were used to compare the recovery of postoperative neurological function between the two groups, and the incidence of postoperative complications was analyzed. Results the KPS score of the early operative group was 87.64 卤10.93, and the KPS score of the late operative group was 74.26 卤13.47. The difference between the two groups was statistically significant (P 0.05), and the prognosis of GOS in the early group and the late group was better than that in the latter group (P 0.05). There were 0 cases of postoperative complications in the early group and 3 cases in the late group. Conclusion under the condition of no obvious contraindication of operation, it is more helpful to repair the skull defect and reduce the incidence of postoperative complications by repairing the skull as soon as possible. It is worth popularizing and applying widely in clinic.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R651.15

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