Jiang Hong-Sheng, Wang Yan-Zhou
Department of Fourth Neurosurgery, Cangzhou Central Hospital, Cangzhou, Hebei Province, P.R. China.
J Int Med Res. 2020 Sep;48(9):300060520959485. doi: 10.1177/0300060520959485.
Craniocerebral injury has high disability and mortality rates. The timing of cranioplasty has an important impact on patients' prognosis. This study was performed to compare the functional prognosis between super early repair and conventional repair.
This observational study included 60 patients who underwent cranioplasty after surgical treatment of severe craniocerebral trauma. The patients were divided into two groups according to the time of cranial repair after the surgical treatment of craniocerebral injury: the super early group and the conventional repair group. Sex, age, Karnofsky performance status (KPS) score, Zubrod performance status (ZPS) score, psychological function score, quality of life score, and complications were recorded.
The KPS score, ZPS score, psychological function score, and quality of life score were significantly related to the intervention period. Each of these scores had a clear correlation with the performance of super early treatment.
Super early cranial repair does not increase the incidence of surgical complications, and it can improve the postoperative KPS, ZPS, and quality of life scores.
颅脑损伤致残率和死亡率高。颅骨修补时机对患者预后有重要影响。本研究旨在比较超早期修补与传统修补的功能预后。
本观察性研究纳入60例重度颅脑创伤手术治疗后行颅骨修补术的患者。根据颅脑损伤手术治疗后颅骨修补时间将患者分为两组：超早期组和传统修补组。记录性别、年龄、卡氏功能状态（KPS）评分、祖氏功能状态（ZPS）评分、心理功能评分、生活质量评分及并发症情况。
KPS评分、ZPS评分、心理功能评分及生活质量评分与干预时期显著相关。这些评分中的每一项都与超早期治疗的效果有明显相关性。
超早期颅骨修补不会增加手术并发症的发生率，且可提高术后KPS、ZPS及生活质量评分。
