临床医学临床医学China&ForeignMedicalTreatment中外医疗2024NO.6中外医疗China&ForeignMedicalTreatment颅脑外伤术后颅骨缺损自体骨瓣回植修补术的临床效果分析肖航，陈振兴，李斌福州市长乐区人民医院神经外科，福建福州350200［摘要］目的探讨颅脑外伤术后颅骨缺损自体骨瓣回植修补术的临床疗效。方法简单随机选取2019年2月—2023年1月福州市长乐区医院收治的60例术后颅骨缺损患者作为研究对象，根据单双数法分为对照组（n=30）和观察组（n=30）。对照组患者采取人工钛板修补术，观察组患者实施自体骨瓣回植修补术。分析并比较两组患者的平均住院时间、切口愈合情况、并发症发生情况、随访情况、治疗满意度以及生活质量情况。结果观察组切合愈合良好率为100.00%，显著高于对照组的80.00%，差异有统计学意义（χ2=4.630，P=0.031）；观察组并发症发生率低于对照组；观察组各随访情况优于对照组；观察组颅骨预后不良率低于对照组；观察组各维度生活质量评分均高于对照组，差异有统计学意义（P均<0.05）。结论自体骨瓣回植修补术能够显著缩短患者的住院时间、骨性愈合时间，改善切口愈合情况，降低并发症发生率及颅骨不良预后发生率，提高患者生活质量。［关键词］颅骨缺损；自体骨瓣；骨移植；临床疗效［中图分类号］R651［文献标识码］A［文章编号］1674-0742（2024）02(c)-0041-04ClinicalEffectofAutogenousBoneFlapRepairforCranialDefectafterCraniocerebralInjuryXIAOHang,CHENZhenxing,LIBinDepartmentofNeurosurgery,ChangleDistrictPeople'sHospital,Fuzhou,FujianProvince,350200China[Abstract]ObjectiveToinvestigatetheclinicaleffectofautogenousboneflaprepairforcranialdefectaftercranioce⁃rebralinjury.Methods60patientswithpostoperativeskulldefectadmittedtoFuzhouChangleDistrictHospitalfromFebruary2019toJanuary2023weresimplyandrandomlyselectedasthestudyobjects,andtheyweredividedintocontrolgroup(n=30)andobservationgroup(n=30)accordingtoodd-evennumbermethod.Thecontrolgroupunder⁃wentartificialtitaniumplaterepair,andtheobservationgroupunderwentautogenousboneflaprepair.Theaveragelengthofstay,woundhealing,complications,follow-up,treatmentsatisfactionandqualityoflifeofthetwogroupswereanalyzedandcompared.ResultsThegoodhealingrateoftheobservationgroupwas100.00%,whichwassignifi⁃ca...
