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  本文選題：顱骨缺損　切入點：顱骨修補　出處：《廣西醫(yī)科大學》2015年碩士論文　論文類型：學位論文

【摘要】：目的觀察顱腦外傷去骨瓣減壓術后分別于早期和晚期行顱骨修補術對顱骨缺損患者術后神經(jīng)恢復及并發(fā)癥發(fā)生情況的影響,分析早期行顱骨修補手術的可行性。方法 回顧性分析廣西醫(yī)科大學第一附屬醫(yī)院2012年11月至2015年2月期間收治的外傷性顱骨缺損患者43例,將顱腦外傷術后需行顱骨修補術的患者分為人數(shù)相近的兩組,即早期組和晚期組,使用數(shù)字化三維塑形鈦網(wǎng)進行顱骨修補手術,通過KPS評分和GOS評分比較兩組患者的術后神經(jīng)功能恢復情況,并對術后并發(fā)癥發(fā)生情況進行分析。結(jié)果早期手術組患者KPS評分為(87.64±10.93)分,晚期手術組患者KPS評分為(74.26±13.47)分,兩組相比較差異具有統(tǒng)計學意義(P0.05)；同時,對比早期組和晚期組GOS預后情況,前者優(yōu)于后者,差異具有統(tǒng)計學意義(P0.05)。早期組術后并發(fā)癥發(fā)生0例,晚期組為3例,亦提示早期手術優(yōu)于晚期手術。結(jié)論在無明顯手術禁忌癥的情況下,盡快行顱骨修補手術治療顱骨缺損更加有利于患者的神經(jīng)功能恢復,減少術后并發(fā)癥的發(fā)生率,值得在臨床上廣泛地推廣應用。
[Abstract]:Objective to observe the effect of cranioplasty in the early and late stage of craniocerebral trauma after decompression of bone flap on nerve recovery and complications in patients with skull defect. Methods 43 patients with traumatic skull defect treated in the first affiliated Hospital of Guangxi Medical University from November 2012 to February 2015 were retrospectively analyzed. The patients who needed cranioplasty after craniocerebral trauma were divided into two groups: the early group and the late group. KPS score and GOS score were used to compare the recovery of postoperative neurological function between the two groups, and the incidence of postoperative complications was analyzed. Results the KPS score of the early operative group was 87.64 鹵10.93, and the KPS score of the late operative group was 74.26 鹵13.47. The difference between the two groups was statistically significant (P 0.05), and the prognosis of GOS in the early group and the late group was better than that in the latter group (P 0.05). There were 0 cases of postoperative complications in the early group and 3 cases in the late group. Conclusion under the condition of no obvious contraindication of operation, it is more helpful to repair the skull defect and reduce the incidence of postoperative complications by repairing the skull as soon as possible. It is worth popularizing and applying widely in clinic.
【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R651.15

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