發(fā)布時間：2018-09-14 20:47

【摘要】：目的分析不同時期行顱骨修補后去骨瓣減壓患者的術(shù)后并發(fā)癥和預(yù)后,探討顱腦外傷去骨瓣減壓術(shù)后顱骨修補的最佳時機。方法回顧性分析2012年11月至2015年11月在我院行顱骨修補術(shù)83例患者的臨床資料,根據(jù)去骨瓣減壓術(shù)后至顱骨修補的時間將其分為早期組(≤3個月)31例和晚期組(3個月)52例。比較兩組患者術(shù)后并發(fā)癥的發(fā)生率,采用格拉斯哥預(yù)后分級(GOS)評分和卡氏功能狀態(tài)(KPS)評分對患者的預(yù)后進行臨床評價。結(jié)果早期組患者術(shù)后腦積水的發(fā)生率(16.13%,5/31)高于晚期組(1.92%,1/52),差異有統(tǒng)計學(xué)意義(P0.05);兩組間其他術(shù)后并發(fā)癥的發(fā)生率差異無統(tǒng)計學(xué)意義。早期組患者術(shù)后GOS患者和KPS評分高于晚期組,差異有統(tǒng)計學(xué)意義(GOS評分:4.16±0.86vs 3.63±0.72,P0.05;KPS評分:80.32±16.22vs 70.19±16.27,P0.05)。結(jié)論顱腦外傷去骨瓣減壓術(shù)后早期顱骨修補較晚期修補可以改善患者的神經(jīng)功能和預(yù)后,但可能會增加腦積水的發(fā)生風(fēng)險。
[Abstract]:Objective to analyze the postoperative complications and prognosis of patients with craniotomy and decompression after cranioplasty in different periods, and to explore the best time for craniocerebral trauma after craniotomy. Methods the clinical data of 83 patients undergoing cranioplasty in our hospital from November 2012 to November 2015 were analyzed retrospectively. According to the time between decompression and cranioplasty, the patients were divided into early group (鈮，

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