颅骨凹陷骨折手术治疗效果研究

M. Khan, Adnan Munir
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摘要

导言:在工业化国家和发展中国家,创伤都是一个重要问题。年轻人死亡的一个重要风险因素是头部受伤:评估凹陷性颅骨骨折的手术治疗效果:本研究为前瞻性研究,在白沙瓦开伯尔教学医院神经外科进行。研究时间为 2022 年 3 月至 2023 年 3 月,为期一年。研究记录了颅骨凹陷性骨折的原因、受伤时间、骨折类型、骨折位置、骨折原因、临床状态和 CT 扫描结果。所有患者都进行了 CT 扫描。大于 5 毫米的 DSF、毁容性外观骨折和鼻窦骨折均接受了手术治疗。整组数据使用 SPSS 23.00 进行检验。结果我们的研究共招募了 80 名患者。其中男性患者 58 例(72.5%),女性患者 22 例(27.5%)。根据 GCS 的结果,完全康复的患者有 58 人(72.5%),中度残疾 11 人(13.75%),重度残疾 8 人(10%),死亡 2 人(2.5%)。结论凹陷性骨折造成的创伤在神经外科病房很常见。影响预后的最重要变量之一是格拉斯哥昏迷量表显示的神经系统状态。接受颅骨凹陷骨折手术治疗的患者中,约有三分之二取得了成功,但仍有三分之一的患者被归类为严重残疾。包括死亡在内的并发症在颅骨凹陷骨折后很常见。关键词结果;手术治疗:凹陷性颅骨骨折
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A Study on Outcomes of Surgical Treatment of Depressed Skull Fractures
Introduction: Trauma is a significant issue in both industrialized and developing nations. A significant risk factor for death in the young population is head injury Objective: To assess the outcomes of surgical treatment of depressed skull fractures Methodology: The current study was prospective study was done at Neurosurgery department of Khyber teaching Hospital Peshawar. The study duration was one years from March 2022 to March 2023. Causes of the depressed skull fracture, time since the injury, the kind of fracture, the location of the fracture, the reason for the fracture, the clinical state, and the CT scan results were noted. All patients had CT scans. DSF greater than 5 mm, disfiguring cosmetic fractures, and sinus fractures were surgically treated. The whole set of data was examined using SPSS 23.00. Results: In our study, totally 80 patients were enrolled. The male patients in our study were 58 (72.5%) whereas female patients were 22 (27.5%). In the outcomes based on GCS, completely recovered patients were 58 (72.5%) patients, 11 (13.75%) were moderately disabled, 8(10%) severely disabled whereas 2(2.5%) patients were demised. Conclusion: Trauma from depressed fractures is common in neurosurgical wards. One of the most important variables influencing outcome prediction is the neurologic state as indicated by the Glasgow coma scale. About two-thirds of patients who undergo surgical therapy of depressed skull fractures get successful results while one- third of patients are still classified as having severe disabilities. Complications, including death, are common after a depressed skull fracture. Keywords: Outcome; surgical treatment: depressed skull fractures
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