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目的探讨颅脑外伤术后颅骨缺损患者行早期颅骨修补术治疗的疗效和安全性。方法采用数字表法,选取2013年6月-2015年6月期间本院行早期颅骨修补术治疗的颅脑外伤术后颅骨缺损患者50例,同期行晚期颅骨修补术治疗患者50例,分别作为本次研究的观察组和对照组。结果观察组患者临床治疗效果优良率68.00%,对照组治疗优良率38.00%,两组差异有统计学意义(P<0.05);观察组患者发生脑水肿、感染及分流管阻塞等并发症发生率6.00%,低于对照组各并发症发生率16.00%,差异有统计学意义(P<0.05)。结论颅脑外伤术后颅骨缺损患者行早期颅骨修补术治疗的疗效明显优于晚期颅骨修补术疗效,治疗后患者出现脑水肿等并发症发生率较低,临床治疗安全性较高。
Objective To investigate the efficacy and safety of early cranial repair in patients with craniocerebral trauma following traumatic brain injury. Methods Fifty patients with skull defects after craniocerebral trauma were treated with early skull repair in our hospital from June 2013 to June 2015. Fifty patients were treated with skull repair in the same period. The study of the observation group and control group. Results The excellent and good rate of clinical treatment was 68.00% in observation group and 38.00% in control group, with significant difference between the two groups (P <0.05). The complication rate of cerebral edema, infection and shunt occlusion in observation group was significantly higher than that of control group 6.00%, which was lower than that of the control group (16.00%), the difference was statistically significant (P <0.05). Conclusions Patients with skull defect after craniocerebral trauma have better curative effect than early cranioplasty in patients with skull repair. The incidence of complications such as cerebral edema in patients with craniocerebral trauma after operation is relatively low, and the safety of clinical treatment is high.