中国现代手术学杂志2012，Vol.16Issue(3)：208-210,3.
颅脑损伤术后颅骨缺损患者超早期行颞肌下颅骨成形术的临床疗效
Clinical Effects of Subtemporal Cranioplasty in Ultra Early Stage for Patients with Skull Defect after Depression Surgery due to Craniocerebral Injury
高忠恩 1岑庆君 1殷万春 1彭立基 1冯荣亮 1严志东1
作者信息
- 1. 广东省肇庆市第一人民医院,肇庆526021
- 折叠
摘要
Abstract
Objective To evaluate the clinical effects of subtemporal cranioplasty in ultra early stage for patients with skull defect after depression surgery due to craniocerebral injury. Methods There were 105 skull defect cases with various degrees of neurological dysfunction reeieved cranioplasty. According to the duration between the decompression procedure and the cranioplasty, these 105 patients were divided into two groups, the ultra early group (n =59) and the advanced group (n =46) . Their neurological function improvement one month after cranioplasty was retrospectively analyzed. Average surgical interval between the decompression and the cranioplasty was(35.1 ?. 3) days in ultra early group, and( 102. 3 ?18. 2) days of the advanced group. Results One month after the cranioplastic surgery, the effective rate of ultra early group was 81.4% (48/59) in terms of neurological function improvement, which was better than that of late group, 63.0% (29/46) (P <0. 05). But in these improved patients, there were still neurological dysfunctions , including the single limb (including pure upper limb or lower limb) dyscinesia in 25 cases, the linguistic dysfunction in 14 cases, the neurosis 5 cases and the skull defect syndrome in 33 cases in the ultra early group. And in the advanced group there were single limb dyscinesia in 5 cases, linguistic dysfunction in 7 cases, neurosis in 2 cases and skull defect syndrome in 27 cases. Conclusion Cranioplasty at ultra early stage may be helpful to improve the neurological function in patients with skull defect.
关键词
颅骨切开术/颅神经损伤/修复外科手术/时间因素Key words
craniotomy/ cranial nerve injuries/ reconstructive surgical procedures/ time factors分类
医药卫生引用本文复制引用
高忠恩,岑庆君,殷万春,彭立基,冯荣亮,严志东..颅脑损伤术后颅骨缺损患者超早期行颞肌下颅骨成形术的临床疗效[J].中国现代手术学杂志,2012,16(3):208-210,3.
