Abstract:

Retrospective analysis was performed on 30 patients of skull defect who underwent surgical repair. Intraoperative and postoperative curative effect was evaluated on those patients, and the results showed that the incidence rate of intraoperative dura mater defect (P = 0.001), early postoperative complications [new epilepsy (P = 0.035) and effusion (P = 0.021)] and late postoperative complications [foreign body sensation (P = 0.035) and dizziness and headache (P = 0.050)] in long-term skull defect group were all higher than those in control group. In conclusion, surgical repair of long-term skull defect incurring high risk and various complications will not be an ideal management. Therefore, early surgical treatment for skull defect is suggested.

Key words: Brain injuries, Skull, Reoperation, Neurosurgery

摘要：

对30 例行颅骨缺损修补术患者的术中和术后疗效进行回顾分析显示，长期颅骨缺损组患者术中［硬脑膜缺损（P = 0.001）］，术后［新发癫痫（P = 0.035）、脑积液（P = 0.021）］和术后晚期并发症［异物感（P = 0.035）、头痛头晕（P = 0.050）］发生率均高于对照组。提示长期颅骨缺损患者施行颅骨修补术风险高、并发症多、手术效果欠理想，建议早期手术治疗。

关键词: 脑损伤, 颅骨, 再手术, 神经外科（学）