临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2015年
4期
447-448
,共2页
颅脑外伤%早期颅骨修补术%颅骨缺损%临床疗效
顱腦外傷%早期顱骨脩補術%顱骨缺損%臨床療效
로뇌외상%조기로골수보술%로골결손%림상료효
Craniocerebral trauma%Early skull repairing surgery%Skull defect%Clinical effect
目的：分析早期颅骨修补术治疗颅脑外伤术后颅骨缺损的临床疗效。方法随机选取2012年3月至2014年3月我院收治的颅脑外伤手术后针对颅骨缺损行颅骨修补术的200例患者为研究对象。按照治疗方法的不同将患者分为对照组与观察组各100例。观察组患者行早期颅骨修补术(3个月内)，对照组患者行晚期颅骨修补术(3个月后)。按G韵杂评分标准评估患者预后，并观察术后2个月患者的运P杂得分和并发症的发生情况。结果观察组运P杂评分为(82.06±13.86)分，显著高于对照组的(72.36±13.98)分，差异具有统计学意义(P<0.05)。观察组G韵杂预后优良率分别为36.00豫和28.00豫，显著高于对照组的21.00豫和14.00豫；观察组重度残疾和植物生存发生率分别为34.00豫和2.00豫，显著低于对照组的56.00豫和9.00豫；差异均具有统计学意义(P<0.05)。观察组出现2例感染，2例脑水肿，并发症发生率为4.00豫；对照组出现4例感染，6例分流管堵塞和2例脑水肿，并发症发生率为12.00豫；观察组并发症发生率显著低于对照组，差异具有统计学意义(P<0.05)。结论早期颅骨修补术可较为明显地改善颅骨缺损患者的神经功能和意识，提高患者的生存质量，并发症较少，疗效显著，值得临床推广应用。
目的：分析早期顱骨脩補術治療顱腦外傷術後顱骨缺損的臨床療效。方法隨機選取2012年3月至2014年3月我院收治的顱腦外傷手術後針對顱骨缺損行顱骨脩補術的200例患者為研究對象。按照治療方法的不同將患者分為對照組與觀察組各100例。觀察組患者行早期顱骨脩補術(3箇月內)，對照組患者行晚期顱骨脩補術(3箇月後)。按G韻雜評分標準評估患者預後，併觀察術後2箇月患者的運P雜得分和併髮癥的髮生情況。結果觀察組運P雜評分為(82.06±13.86)分，顯著高于對照組的(72.36±13.98)分，差異具有統計學意義(P<0.05)。觀察組G韻雜預後優良率分彆為36.00豫和28.00豫，顯著高于對照組的21.00豫和14.00豫；觀察組重度殘疾和植物生存髮生率分彆為34.00豫和2.00豫，顯著低于對照組的56.00豫和9.00豫；差異均具有統計學意義(P<0.05)。觀察組齣現2例感染，2例腦水腫，併髮癥髮生率為4.00豫；對照組齣現4例感染，6例分流管堵塞和2例腦水腫，併髮癥髮生率為12.00豫；觀察組併髮癥髮生率顯著低于對照組，差異具有統計學意義(P<0.05)。結論早期顱骨脩補術可較為明顯地改善顱骨缺損患者的神經功能和意識，提高患者的生存質量，併髮癥較少，療效顯著，值得臨床推廣應用。
목적：분석조기로골수보술치료로뇌외상술후로골결손적림상료효。방법수궤선취2012년3월지2014년3월아원수치적로뇌외상수술후침대로골결손행로골수보술적200례환자위연구대상。안조치료방법적불동장환자분위대조조여관찰조각100례。관찰조환자행조기로골수보술(3개월내)，대조조환자행만기로골수보술(3개월후)。안G운잡평분표준평고환자예후，병관찰술후2개월환자적운P잡득분화병발증적발생정황。결과관찰조운P잡평분위(82.06±13.86)분，현저고우대조조적(72.36±13.98)분，차이구유통계학의의(P<0.05)。관찰조G운잡예후우량솔분별위36.00예화28.00예，현저고우대조조적21.00예화14.00예；관찰조중도잔질화식물생존발생솔분별위34.00예화2.00예，현저저우대조조적56.00예화9.00예；차이균구유통계학의의(P<0.05)。관찰조출현2례감염，2례뇌수종，병발증발생솔위4.00예；대조조출현4례감염，6례분류관도새화2례뇌수종，병발증발생솔위12.00예；관찰조병발증발생솔현저저우대조조，차이구유통계학의의(P<0.05)。결론조기로골수보술가교위명현지개선로골결손환자적신경공능화의식，제고환자적생존질량，병발증교소，료효현저，치득림상추엄응용。
Objective To analyze the clinical effect of early skull repairing surgery on skull defect after craniocerebral trauma surgery. Methods 200 cases of patients with skull defect after craniocerebral trauma surgery who implemented skull repairing surgery in our hospital from March 2012 to March 2014 were randomly selected as objects. All patients were divided into control group (100 cases) and observation group (100 cases) according to different treatment method. The observation group was given early skull repairing surgery (within 3 months), the control group received advanced skull repairing surgery (after 3 months). The prognosis of two groups was evaluated by glasgow prognosis score (GOS), the KPS score and adverse reactions after two months of the surgery were observed. Results The KPS score of observation group was 82.06±13.86, higher than 72.36±13.98 of control group, with statistical difference (P<0.05). The excellent and good rate of GOS in observation group were 36.00%and 28.00%respectively, higher than 21.00%and 14.00%in control group;the incidence of severe disability and vegetative state in observation group were 34.00%and 2.00%respectively, lower than 56.00%and 9.00%in control group, all the difference was statistical (P<0.05). The complications rate of observation group was 4.00%, with infection in 2 cases and cerebral edema in 2 cases;the complications rate of control group was 12.00%, with infection in 4 cases, shunt tube obstruction in 6 cases and cerebral edema in 2 cases; the complications rate of observation group was higher than that of control group, with statistical difference (P <0.05). Conclusions Early skull repairing surgery can effectively improve the neurological function and consciousness of patients with skull defect, and also improve patients' living quality with less complications, which has significant clinical effect and deserves promotion.
