作　　者： (王勇）; (娄红民）;

机构地区： 菏泽市第二人民医院神经外科,山东菏泽274000

出　　处： 《系统医学》 2017年第13期73-74,77,共3页

摘　　要： 目的探讨早期颅骨修补手术治疗脑外伤的临床效果。方法选取该院2014年1月—2016年1月收治的脑外伤患者57例,根据治疗方法的不同,将患者分为观察组30例与对照组27例,观察组患者采用早期颅脑修补术与脑室腹腔引流术联合方式,对照组患者采用传统手术方式。比较两组患者的临床疗效与并发症发生情况。结果观察组患者30例,其中恢复良好21例、中度残疾8例、重度残疾1例;对照组患者27例,其中恢复良好9例、中度残疾11例、重度残疾7例。两组患者临床疗效比较,差异有统计学意义(P<0.05)。观察组患者30例,发生感染1例,头晕头痛2例,分流管堵塞0例,并发症发生率10.00%;对照组患者27例,发生感染4例,头晕头痛7例,分流管都塞3例,并发症发生率51.85%。两组患者并发症发生率比较,差异有统计学意义(P<0.05)。结论早期颅骨修补手术治疗脑外伤具有良好的临床疗效,可以提高患者的治愈率,降低并发症发生率,是一种有效的治疗手段,具有良好的临床效果,值得在临床中推广。 Objective This paper tries to investigate the clinical effect of early cranioplasty on traumatic bra in injury. Methods 57 cases of patients with traumatic brain injury in this hospital from January 2014 to January 2016 were se-lected and divided into the observation group of 30 cases and the control group of 27 cases according to the different treatment methods, and the observation group was treated with early cranioplasty and ventriculo peritoneal shunt, the control group adopted traditional operation mode, and then the curative effect and the incidence of complications in the two groups were compared. Results Among the 30 cases in the observation group, 21 cases of good recovery, 8 cases of moderate disability, 1 case of severe disability; among the 27 cases of the control group, 9 cases of good recovery, 11 cases of moderate disability, 7 cases of severe disability. The difference was statist ical ly significant in the clinical effi-cacy of the two groups （P〈0.05）. Among the 30 cases of the observation group, 1 case of infection, 2 cases of dizziness and headache, 0 case of shunt tube blockage, the complication rate was 10.00%; and among the 27 cases of the control group, 4 cases of infection, 7 cases of dizziness and headache, 3 cases of shunt tube blockage, the complication rate was 51.85%. The difference was statistically significant in the complication rate of the two groups （P〈0.05）. Conclusion Early cranioplasty surgery in the treatment of traumatic brain injury has good curative effect, which can improve the cu-rative rate, reduce the incidence of complications, is an effective curative method, with good clinical effect; therefore it is worth promotion in clinical practice.

关 键 词： 早期颅骨修补术 脑外伤 临床疗效