本文選題：顱骨缺損　切入點(diǎn)：顱骨修補(bǔ)　出處：《廣西醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的觀察顱腦外傷去骨瓣減壓術(shù)后分別于早期和晚期行顱骨修補(bǔ)術(shù)對顱骨缺損患者術(shù)后神經(jīng)恢復(fù)及并發(fā)癥發(fā)生情況的影響,分析早期行顱骨修補(bǔ)手術(shù)的可行性。方法 回顧性分析廣西醫(yī)科大學(xué)第一附屬醫(yī)院2012年11月至2015年2月期間收治的外傷性顱骨缺損患者43例,將顱腦外傷術(shù)后需行顱骨修補(bǔ)術(shù)的患者分為人數(shù)相近的兩組,即早期組和晚期組,使用數(shù)字化三維塑形鈦網(wǎng)進(jìn)行顱骨修補(bǔ)手術(shù),通過KPS評分和GOS評分比較兩組患者的術(shù)后神經(jīng)功能恢復(fù)情況,并對術(shù)后并發(fā)癥發(fā)生情況進(jìn)行分析。結(jié)果早期手術(shù)組患者KPS評分為(87.64±10.93)分,晚期手術(shù)組患者KPS評分為(74.26±13.47)分,兩組相比較差異具有統(tǒng)計(jì)學(xué)意義(P0.05)；同時(shí),對比早期組和晚期組GOS預(yù)后情況,前者優(yōu)于后者,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。早期組術(shù)后并發(fā)癥發(fā)生0例,晚期組為3例,亦提示早期手術(shù)優(yōu)于晚期手術(shù)。結(jié)論在無明顯手術(shù)禁忌癥的情況下,盡快行顱骨修補(bǔ)手術(shù)治療顱骨缺損更加有利于患者的神經(jīng)功能恢復(fù),減少術(shù)后并發(fā)癥的發(fā)生率,值得在臨床上廣泛地推廣應(yīng)用。
[Abstract]:Objective to observe the effect of cranioplasty in the early and late stage of craniocerebral trauma after decompression of bone flap on nerve recovery and complications in patients with skull defect. Methods 43 patients with traumatic skull defect treated in the first affiliated Hospital of Guangxi Medical University from November 2012 to February 2015 were retrospectively analyzed. The patients who needed cranioplasty after craniocerebral trauma were divided into two groups: the early group and the late group. KPS score and GOS score were used to compare the recovery of postoperative neurological function between the two groups, and the incidence of postoperative complications was analyzed. Results the KPS score of the early operative group was 87.64 鹵10.93, and the KPS score of the late operative group was 74.26 鹵13.47. The difference between the two groups was statistically significant (P 0.05), and the prognosis of GOS in the early group and the late group was better than that in the latter group (P 0.05). There were 0 cases of postoperative complications in the early group and 3 cases in the late group. Conclusion under the condition of no obvious contraindication of operation, it is more helpful to repair the skull defect and reduce the incidence of postoperative complications by repairing the skull as soon as possible. It is worth popularizing and applying widely in clinic.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R651.15

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 孫崇然;顱骨缺損的組織工程學(xué)修復(fù)研究進(jìn)展[J];國外醫(yī)學(xué).神經(jīng)病學(xué)神經(jīng)外科學(xué)分冊;2004年02期

2 王京,陳宏,李敏洪,蔣宇鋼;硅膠滌綸絲網(wǎng)修補(bǔ)顱骨缺損后的并發(fā)癥及其治療[J];湖南醫(yī)科大學(xué)學(xué)報(bào);2002年02期

3 高玉華;張遠(yuǎn)明;;顱骨修補(bǔ)術(shù)后腦血流與記憶功能變化的初步研究[J];臨床神經(jīng)外科雜志;2014年02期

4 張猛;邵柏;顏慶華;丁興進(jìn);;顱骨修補(bǔ)術(shù)后鈦網(wǎng)外露[J];臨床神經(jīng)外科雜志;2014年04期

5 楊建雄;葉志其;;早期顱骨修補(bǔ)及腦室腹腔分流治療腦外傷的療效分析[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2010年02期

6 高振文;田素臣;曹明志;紀(jì)俊強(qiáng);;鈦網(wǎng)修補(bǔ)額顳頂區(qū)巨大顱骨缺損345例[J];山東醫(yī)藥;2013年12期

7 肖陽;董波;;數(shù)字化成形三維鈦網(wǎng)在顱骨缺損修補(bǔ)手術(shù)中的應(yīng)用[J];中華神經(jīng)外科疾病研究雜志;2014年03期

8 張占英;張方成;;顱骨缺損修復(fù)材料的比較[J];中國臨床神經(jīng)外科雜志;2007年08期

9 杜光勇;杜亞莉;韓彥清;;重型顱腦損傷去骨瓣減壓后超早期顱骨修補(bǔ)的臨床研究[J];中華神經(jīng)外科雜志;2006年06期

10 魏建功,黎建明,張日華,宋同均,劉立良,劉道斌,王錫銘;帽狀腱膜下保存自體顱骨及回植的研究[J];中國基層醫(yī)藥;2004年06期

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