首页|颅脑外伤术后颅骨缺损自体骨瓣回植修补术的临床效果分析

颅脑外伤术后颅骨缺损自体骨瓣回植修补术的临床效果分析

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目的 探讨颅脑外伤术后颅骨缺损自体骨瓣回植修补术的临床疗效.方法 简单随机选取2019年2月—2023年1月福州市长乐区医院收治的60例术后颅骨缺损患者作为研究对象,根据单双数法分为对照组(n =30)和观察组(n=30).对照组患者采取人工钛板修补术,观察组患者实施自体骨瓣回植修补术.分析并比较两组患者的平均住院时间、切口愈合情况、并发症发生情况、随访情况、治疗满意度以及生活质量情况.结果 观察组切合愈合良好率为 100.00%,显著高于对照组的 80.00%,差异有统计学意义(χ2=4.630,P= 0.031);观察组并发症发生率低于对照组;观察组各随访情况优于对照组;观察组颅骨预后不良率低于对照组;观察组各维度生活质量评分均高于对照组,差异有统计学意义(P均<0.05).结论 自体骨瓣回植修补术能够显著缩短患者的住院时间、骨性愈合时间,改善切口愈合情况,降低并发症发生率及颅骨不良预后发生率,提高患者生活质量.
Clinical Effect of Autogenous Bone Flap Repair for Cranial Defect after Craniocerebral Injury
Objective To investigate the clinical effect of autogenous bone flap repair for cranial defect after cranioce-rebral injury.Methods 60 patients with postoperative skull defect admitted to Fuzhou Changle District Hospital from February 2019 to January 2023 were simply and randomly selected as the study objects,and they were divided into control group(n=30)and observation group(n=30)according to odd-even number method.The control group under-went artificial titanium plate repair,and the observation group underwent autogenous bone flap repair.The average length of stay,wound healing,complications,follow-up,treatment satisfaction and quality of life of the two groups were analyzed and compared.Results The good healing rate of the observation group was 100.00%,which was signifi-cantly higher than that of the control group(80.00%),and the difference was statistically significant(χ2=4.630,P= 0.031).The complication rate of observation group was lower than control group.The observation group was better than the control group.The cranial prognosis of observation group was lower than that of control group.The quality of life scores of all dimensions in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Autologous bone flap repair can significantly shorten the hospital stay and bone healing time of patients,improve the wound healing,reduce the incidence of complications and adverse prognosis of skull,and improve the quality of life.

Skull defectAutogenous bone flapBone graftClinical effect

肖航、陈振兴、李斌

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福州市长乐区人民医院神经外科,福建福州 350200

颅骨缺损 自体骨瓣 骨移植 临床疗效

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(6)
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