早期颅骨成形术在重型颅脑外伤患者去骨瓣减压后的应用价值

摘要

目的:研究早期颅骨成形术在重型颅脑外伤患者去骨瓣减压后的应用价值.方法:选取我院2012年1月-2016年6月68例重型颅脑损伤患者为研究对象,根据治疗方法不同将纳入患者分为早期组(n=34)与常规组(n=34).早期组在去骨瓣减压术后4~8周行颅骨成形术,常规组在去骨瓣减压术3~6个月行颅骨成形术.比较两组的神经功能、肢体运动能力、日常生活活动功能以及并发症情况.结果:早期组成形术后的神经功能缺损评分(NIHSS)评分、颅骨缺损综合征发生率、硬膜下积液发生率分别为(17.53±4.48)分、14.7%、8.8%显著低于常规组的(20.69±3.55)分、38.2%、29.4%(P<0.05).结论:早期颅骨成形术可以促进重型颅脑外伤患者去骨瓣减压后神经功能的恢复,减少颅骨缺损综合征等并发症发生,具有较高的临床应用价值.%Objective:To study the application value of early stage skull angioplasty in patients with severe traumatic brain injury.Methods:68 cases of severe craniocerebral injury patients in our hospital from January 2012 to June 2016 were selected.The patients were divided into the early group(n=34)and the conventional group(n=34)according to the different treatment methods.During the early stage of the bone flap decompression,4 to 8 weeks after surgery,the conventional group was performed in 3 to 6 months.Compared with the two groups of neurological function,limb motor function,daily life activity function and complications.Results:The early neurological function after operation of the form(NIHSS)score,skull defect syndrome incidence,the incidence of subdural effusion were(17.53±4.48)%,14.7%and 8.8%was significantly lower than the conventional group(20.69±3.55)%,38.2%,29.4%(P<0.05).Conclusion:Early stage skull angioplasty can promote the recovery of neurological function in patients with severe traumatic brain injury,and reduce the incidence of complications such as skull defect syndrome,which has high clinical value.