早期颅骨修补术治疗颅脑外伤术后颅骨缺损的临床效果

陈修斌 万发波

[摘要] 目的 针对颅脑外伤术后患者颅骨缺损的情况，探析应用早期颅骨修补术进行治疗的临床效果。 方法 方便选取该院2013年1月—2018年3月收治的60例颅脑外伤术后颅骨缺损患者作为该次研究的对象，随机分为两组，每组30例。其中，对照组采用晚期颅骨修补术治疗，研究组采用早期颅骨修补术进行治疗。并对两组患者的临床治疗效果、并发症以及患者满意度进行了对比分析。结果 研究组KPS评分（82.34±12.52）分较对照组（72.32±14.17）分高（t=4.622，P<0.05），研究组完全恢复人数比例达到63.33%，优于对照组（χ2=5.538，P<0.05）。对照组并发症总发生率（13.33%）高于研究组（3.33%），差异有统计学意义（χ2=4.382，P<0.05）。研究组患者的总满意度（93.33%）高于对照组（73.33%），差异有统计学意义（χ2=9.462，P<0.05）。结论 早期颅骨修补术应用于颅骨缺损患者的治疗效果较好，在临床治疗中具有借鉴意义。

[关键词] 早期颅骨修补术;颅骨缺损;颅脑外伤

[中图分类号] R651          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0097-03

Clinical Effect of Early Skull Repair in the Treatment of Skull Defects after Craniocerebral Injury

CHEN Xiu-bin1， WAN Fa-bo2

1.Department of Surgery， Ganyu District Hospital of Traditional Chinese Medicine， Lianyungang， Jiangsu Province， 222100 China; 2.Department of Neurosurgery， People's Hospital of Lianyungang， Lianyungang， Jiangsu Province， 222100 China

[Abstract] Objective To investigate the clinical effects of early skull repair in the treatment of skull defects in patients after traumatic brain injury. Methods 60 patients with craniocerebral defects who were admitted to the hospital between January 2013 and March 2018 were convenient selected as subjects of this study and randomly divided into two groups. Each group had 30 patients. Among them， the control group was treated with advanced skull repair， and the study group was treated with early skull repair. The clinical treatment effects， complications and patient satisfaction of the two groups of patients were compared and analyzed. Results The KPS score of the study group （82.34±12.52）points was higher than that of the control group（72.32±14.17）points（t=4.622， P<0.05）. The proportion of complete recovery in the study group was 63.33%， better than that of the control group （χ2=5.538， P<0.05）. The total incidence of complications in the control group （13.33%） was higher than the study group （3.33%）， the difference was statistically significant （χ2=4.382， P<0.05）. The total satisfaction of the study group （93.33%） was higher than that of the control group （73.33%）， and the difference was statistically significant （χ2=9.462， P<0.05）. Conclusion Early skull repair has good therapeutic effect on patients with skull defect， and it has referential significance in clinical treatment.

[Key words] Early skull repair; Skull defect; Traumatic brain injury

交通事故、灾难性事故等导致颅脑损伤的患者数量逐年增加，其死亡率在外傷疾病中最高[1-2]。目前临床上主要采用手术治疗的方法。手术过程中需要切除患者部分的颅骨，造成颅脑损伤，颅脑损伤会对患者的身体产生较大的影响，例如颅内压力的失常，影响神经功能等[3]。颅骨修补术是指在适当的时候对患者进行颅骨修补，有利于患者的神经功能恢复[4]。而据文献资料报道，不同的修复时机会影响患者的预后情况[5]，故该研究将2013年1月—2018年3月收治的60例颅脑外伤术后颅骨缺损患者作为研究对象，对比考察了早期以及晚期颅骨修补术对颅脑损伤患者的临床效果，现报道如下。

1  资料与方法

1.1  一般资料

研究对象为方便选取该院收治的60例颅脑外伤术后颅骨缺损患者，随机分为两组，每组30例。研究组：男17例，女13例，年龄21～64岁，平均（46.3±1.8）岁。对照组：男16例，女14例，年龄19～65岁，平均（47.0±1.5）岁。……