凹陷性颅骨骨折手术对颅脑损伤患者预后的影响。
Impact of depressed skull fracture surgery on outcome of head injury patients.
作者信息
Ahmad Shakeel, Afzal Ali, Rehman Lal, Javed Farrukh
机构信息
Dr. Shakeel Ahmad, MBBS. Department of Neurosurgery, Jinnah Postgraduate Medical Center, Karachi, Pakistan.
Dr. Ali Afzal, MBBS. Department of Neurosurgery, Jinnah Postgraduate Medical Center, Karachi, Pakistan.
出版信息
Pak J Med Sci. 2018 Jan-Feb;34(1):130-134. doi: 10.12669/pjms.341.13184.
OBJECTIVE
To assess outcomes in surgically managed patients with depressed skull fractures and associated moderate to severe head injury.
METHODS
The study was conducted in the Department of Neurosurgery Jinnah Postgraduate Medical Centre, Karachi, from January 2016 to December 2017. We analyzed 90 patients with depressed skull fracture managed surgically from January 2015 to December 2016. The patients selected for this study belonged to all age groups with clinically palpable depressed skull fracture confirmed by CT brain with bone window. Outcome was assessed by Glasgow outcome score.
RESULTS
Total 90 patients were included in the study. Sixty (66.7%) were male and 30 (33.3%) were female with mean age of years 27.58+11.329. Among 90 patients, 38.8% were aged between 21 and 30 years. Road traffic accident was seen in 72 (80%) patients. The commonest site of fracture was frontal region in 50 patients (55.6%). GCS improved post operatively on comparison to preoperative. Five patients expired.
CONCLUSION
Depressed skull fracture is common neuro surgical issue. Timely surgical management gives excellent results by decreasing morbidity and mortality.
目的
评估手术治疗的颅骨凹陷性骨折合并中度至重度颅脑损伤患者的预后。
方法
该研究于2016年1月至2017年12月在卡拉奇真纳研究生医学中心神经外科进行。我们分析了2015年1月至2016年12月期间90例接受手术治疗的颅骨凹陷性骨折患者。本研究选取的患者涵盖所有年龄组，经头颅CT骨窗证实存在临床可触及的颅骨凹陷性骨折。通过格拉斯哥预后评分评估预后。
结果
本研究共纳入90例患者。其中60例（66.7%）为男性，30例（33.3%）为女性，平均年龄为27.58 + 11.329岁。90例患者中，38.8%的年龄在21至30岁之间。72例（80%）患者因道路交通事故受伤。最常见的骨折部位是额部，共50例（55.6%）。与术前相比，术后格拉斯哥昏迷评分有所改善。5例患者死亡。
结论
颅骨凹陷性骨折是常见的神经外科问题。及时的手术治疗通过降低发病率和死亡率可取得良好效果。
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