摘要
目的报告73例外伤致颅骨缺损修补的疗效,比较不同时期修补患者的生活质量,探讨颅骨缺损修补的时机。方法73例中43例于伤后1～3月行颅骨修补术(早期组),30例于颅骨缺损后3～6个月行颅骨修补术(正常组),比较手术并发症发生率和术后6个月生活质量。结果 73例均一期愈合。早期组术后并发症较正常组无增加,但早期组伤后6个月生活质量较正常组明显上升(P<0.01)。结论颅脑外伤手术后,切口愈合好,减压窗凹陷患者,于去颅骨瓣后1～3个月修补效果优于3～6个月修补者。
Objective To evaluate the curative effect on cranioplasty in 73 patients with traumatic skull defect, compare the living quality of the patients who received wounds and underwent cranioplasty at different periods,and study the best time for cranioplasty of skull defect.Methods 73 cases of traumatic skull defect underwent cranio- plasty.Among them 43 cases underwent cranioplasty 1～3 months after skull defect (the early operation group);30 cases underwent cranioplasty 3～6 months after skull defect (the normal operation group).The incidence of cormpli- cations and living quality 6 months after operation were compared.Results The wounds of all the 73 patients were considered primary healing.As compared with the normal operation group,the complications in the early operation group did not increase,but the living quality 6 months after receiving wounds was markedly superior to that of the normal operation group;there was statistical significance (P<0.01).Conclusion The incisions are well healed after craniocerebral trauma.As for the patients with decompression window depression,cranioplasty 1～3 months after skull defect is superior to that of 3～6 months after skull defect.
出处
《神经病学与神经康复学杂志》
2006年第2期86-88,共3页
Journal of Neurology and Neurorehabilitation
关键词
颅脑外伤
颅骨缺损
早期颅骨修补
craniocerebral trauma
skull defect
early cranioplasty
