Clinical Efficacy of Skull Repair Surgery for Children with Traumatic Skull Defects at Different Times
[Objective]To explore the clinical efficacy of skull repair surgery at different times in the treatment of chil-dren with traumatic skull defects.[Methods]Sixty children with traumatic skull defects admitted to our hospital from June 2017 to September 2023 were selected.All children underwent decompressive craniectomy,and skull repair surgery was performed at a selected time after surgery.They were divided into the control group(n=35)and the observation group(n=25)based on the time of postoperative skull repair surgery.The control group patients underwent skull repair surgery within 3-6 months after decompressive craniectomy,while the observation group patients completed skull repair surgery within 2 months after decompressive craniectomy.We compared the quality of life,self-care ability,neurological function,and motor function recovery of two groups of patients before and after treatment,and compared the clinical efficacy and postoperative complications of the two groups of patients.[Results]After treatment,the quality of life scores of both groups of patients were higher than before treatment,and the observation group was higher than the control group,with a statistically significant difference(P＜0.05).After treatment,the Barthel index and Fugl-Meyer score in both groups were higher than before treatment,and the observation group was higher than the control group;The NIHSS score was lower than before treatment,and the observation group was lower than the control group,with a statistically significant difference(P＜0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P＜0.05).[Conclusion]Early skull surgery for children with traumatic skull defects can improve their quality of life,improve their neurological and motor functions,and have good clinical effects.
万方数据
维普
