[1]邵东传,吴 钧,刘 俊,等.早期颅骨修补与晚期颅骨修补手术的疗效分析[J].医学信息,2021,34(12):127-129.[doi:10.3969/j.issn.1006-1959.2021.12.033]
　SHAO Dong-chuan,WU Jun,LIU Jun,et al.Analysis of the Curative Effect of Early Skull Repair and Late Skull Repair[J].Medical Information,2021,34(12):127-129.[doi:10.3969/j.issn.1006-1959.2021.12.033]
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早期颅骨修补与晚期颅骨修补手术的疗效分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年12期
页码:
127-129
栏目:
临床研究
出版日期:
2021-06-15

文章信息/Info

Title:
Analysis of the Curative Effect of Early Skull Repair and Late Skull Repair
文章编号:
1006-1959（2021）12-0127-03
作者:
邵东传; 吴 钧; 刘 俊; 等
（昆明市第一人民医院神经外科，云南 昆明 650034）
Author(s):
SHAO Dong-chuan; WU Jun; LIU Jun; et al.
(Department of Neurosurgery,The FirstHospital of Kunming,Kunming 650034,Yunnan,China)
关键词:
去骨瓣减压术; 颅骨修补; 脑积水; 脑出血
Keywords:
Decompressive craniectomy; Skull repair; Hydrocephalus; Cerebral hemorrhage
分类号:
R651.1
DOI:
10.3969/j.issn.1006-1959.2021.12.033
文献标志码:
A
摘要:
目的 探讨不同时期行颅骨修补的安全性和可行性。方法 回顾性分析昆明市第一人民医院神经外科2014年1月~2020年8月收治的233例行颅骨修补的患者的临床资料，根据颅骨修补的时机将其分为早期组（术后≤3个月，78例）与晚期组（术后＞3个月，155例）；比较两组术后感染、脑出血、癫痫、脑积水发生率及术后住院天数、术中失血量及手术时间。结果 两组术后感染、脑出血、癫痫、脑积水发生率及并发症总发生率比较，差异均无统计学意义（P＞0.05）；两组术后住院天数、术中失血量及手术时间比较，差异均无统计学意义（P＞0.05）。结论 早期颅骨修补较晚期颅骨修补并未增加患者并发症的发生率，且也未增加住院时间、术中出血量及手术时间，故建议临床应用早期行颅骨修补术。
Abstract:
Objective To explore the safety and feasibility of skull repair in different periods.Methods A retrospective analysis of the clinical data of 233 cases of skull repair patients admitted to the Department of Neurosurgery of the First Hospital of Kunming from January 2014 to August 2020.According to the timing of skull repair, they were divided into early group (≤3 months after operation, 78 cases) and late group (>3 months after operation, 155 cases);The incidence of postoperative infection, cerebral hemorrhage, epilepsy,hydrocephalus, postoperative hospital stay, intraoperative blood loss and operation time were compared between the two groups.Results There was no significant difference in the incidence of postoperative infection, cerebral hemorrhage, epilepsy, hydrocephalus, and the total incidence of complications between the two groups (P>0.05);There was no statistically significant difference in the number of days of hospitalization, intraoperative blood loss and operation time between the two groups (P>0.05).Conclusion Early skull repair did not increase the incidence of complications, nor did it increase the hospitalization time, intraoperative blood loss and operation time. Therefore, it is recommended that early skull repair be used in clinical practice.

参考文献/References:

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更新日期/Last Update: 1900-01-01