武警医学2012，Vol.23Issue(11)：958-960,3.
外伤性颅骨缺损修补时间窗对预后的影响
Choice of repair time in treatment of traumatic skull defect and its effect on prognosis of patients
徐文俊 1王荣 1王丹 2黄勇 1荣效国 1何晓飞 1白洁3
作者信息
- 1. 225003 扬州,武警江苏总队医院神经外科
- 2. 100039 北京,武警总医院南二科
- 3. 200433, 上海长海医院老年科
- 折叠
摘要
Abstract
Objective To study the prognosis of patients with traumatic skull defect at distinct time points after cranioplasty . Methods Groups of severe craniocerebral trauma patients were classified as super early phase (4-6 w) , early phase (7 -8 w) , normal phase (S3m) after decompress hemicraniectomy (DCH) before undergoing cranioplasty. Retrospective analysis was made to compare the difference in postoperative complications , neural function and life quality between the groups . Results The incidence of flap hematocele and flap hydrops in super early phase group was significantly higher (25% ; 31. 25% ) than in the other groups (3. 84% , 3.84% ; 3.33,3.33%) (P<0.05). There was significant difference in neural function improvement (P<0.01) as well as life quality grade (P <0.05) between normal phase group and other groups . Postoperative psychiatric symptoms in super early phase group and early phase group presented a more conspicuous amelioration than in normal phase group (P<0.05) , but there was no conspicuous amelioration between super early phase group and early phase group (P >0. 05). Conclusions Early cranioplasty can significantly reduce post -operative complications, improve life quality and neural function and can produce satisfactory clinical effect .关键词
颅脑损伤/外伤性颅骨缺损/颅骨修补/预后Key words
craniocerebral trauma / traumatic skull defect/ cranioplasty/ prognosis分类
医药卫生引用本文复制引用
徐文俊,王荣,王丹,黄勇,荣效国,何晓飞,白洁..外伤性颅骨缺损修补时间窗对预后的影响[J].武警医学,2012,23(11):958-960,3.
