摘要
目的探讨开颅去大骨瓣减压后早期颅骨修补的临床意义。方法对105例脑外伤或自发性脑出血开颅血肿清除并去大骨瓣的患者(骨窗大小≥10cm×12cm),在不同时期颅骨修补,按术后修补时间早晚进行分组比较,根据生活指数量表(RFLI),对患者术后不同时期生活质量进行评估。结果手术后3个月内行颅骨修补患者较6个月后修补患者近期及远期生活质量明显提高(P<0.01)。结论大骨瓣减压患者由于颅内压和大气压之间的压力梯度不断改变,加之骨窗大,皮瓣失去支撑作用,在恢复期更容易引起颅内容物受压甚至移位,影响脑功能的恢复,故应及早行颅骨修补。
Objective To investigate the clinical significance of early cranial bone repair after craniotomy with big bone flap decompression. Methods 105 cases of brain injury spontaneous brain hemorrhage treated with craniotomy and clearance of hematoma, big bone flap （ bone window 10×12cm^2） . The cranial bone was repaired at different stage. According to the time of repair mentthe patients were divided into different groups, the life quality were compared and evaluated. Results Patients with cranial bone repair within three months had better near by and distant stage life quality compare with those after six months. Conclusion Patients after big bone flap decompression because of continuous changes between intra-cranial pressure and air pressurc,and big bone window,the skin flap lost support,during recovery period much easy induced intra-cranial contents disiocation or under pressure,and influencc recovery of brain function,it should repair cranial bone as soon as possible.
出处
《中国实用神经疾病杂志》
2006年第5期12-13,共2页
Chinese Journal of Practical Nervous Diseases
关键词
大骨瓣减压术
颅骨修补时间
生活质量
Big bone flap decompression
Time of cranial bone repair
Life quality
