首页|早期颅骨修补术治疗颅脑外伤术后颅骨缺损的临床效果

早期颅骨修补术治疗颅脑外伤术后颅骨缺损的临床效果

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目的 探究早期颅骨修补术治疗颅脑外伤术后颅骨缺损的临床效果.方法 随机选取2020年1月—2023年1月泉州台商投资区医院收治的60例颅脑外伤术后颅骨缺损患者作为研究对象,按随机数表法分为观察组(n=30,早期颅骨修补术治疗)与对照组(n=30,晚期颅骨修补术治疗),比较两组Karnofsky功能状态、手术时间、术中出血量、治疗效果、预后情况.结果 治疗后,观察组Karnofsky功能状态评分较对照组更高,差异有统计学意义(P<0.05).两组术中出血量、手术时间比较,差异无统计学意义(P均>0.05).观察组总有效率为96.67%,较对照组的80.00%高,差异有统计学意义(χ2=4.043,P<0.05).观察组预后良好率较对照组高,差异有统计学意义(P<0.05).结论 对颅脑外伤术后颅骨缺损患者实行早期颅骨修补术治疗,可改善患者Karnof-sky功能状态,提高临床治疗效果,利于患者预后.
Clinical Outcome of Early Cranial Bone Repair for Postoperative Cranial Bone Defects after Craniocerebral Trauma
Objective To investigate the clinical effect of early cranial bone repair in the treatment of postoperative cranial bone defects after craniocerebral trauma.Methods 60 patients with postoperative cranial bone defects after cra-niocerebral trauma admitted to Quanzhou Taiwanese Investment Zone Hospital from January 2020 to January 2023 were randomly selected as the study subjects,and were divided into observation group(n=30,treated with early cra-nial bone repair)and control group(n=30,treated with late cranial bone repair)by the method of randomized numeri-cal table.Karnofsky functional status,operation time,intraoperative bleeding,treatment effect,and prognosis were compared between the two groups.Results After treatment,the Karnofsky functional status score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There were no statistically significant difference in the amount of blood loss and operation time between the two groups(both P>0.05).The total effective rate of the observation group was 96.67%,which was higher than that of the control group(80.00%),and the difference was statistically significant(χ2=4.043,P<0.05).The good prognosis rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The imple-mentation of early cranial bone repair treatment for patients with postoperative cranial bone defects after craniocere-bral trauma can improve the patient's Karnofsky functional status,improve the clinical therapeutic effect,and benefit the patient's prognosis.

Craniocerebral traumaPostoperative cranial bone defectEarly cranial bone repairKarnofsky functional statusCranial bone defect area

林春铭、叶再发、陈瑀豪

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泉州台商投资区医院神经外科,福建泉州 362123

颅脑外伤 术后颅骨缺损 早期颅骨修补术 Karnofsky功能状态 颅骨缺损面积

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(2)
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