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目的:研究分析伴发额眶前颅底开放性颅脑损伤的手术治疗效果。方法:选取本院收治的额眶前颅底开放性颅脑损伤患者80例。对其临床表现与手术治疗效果进行回顾性分析,上述全部患者均顺利完成一期前颅底重建修补手术,同时有5例患者接受一期视神经管减压手术,2例患者接受视神经管减压手术。结果:手术完成之后,无1例患者出现永久脑脊液漏情况,但是有7例患者因为存在视神经管损伤,在完成相应的视神经管减压治疗之后,患者的视力明显改善。治疗之前,患者GOS评分良好率为81.25%,治疗之后其评分良好率为100.00%,组间比较,差异具有统计学意义(P<0.05)。结论:伴发额眶前颅底开放性颅脑损伤患者治疗的重点是抢救患者的生命,有效的修复患者的前颅底以及眼眶缺损,促使神经功能障碍进一步减少。
Objective: To study the surgical treatment of open frontal orbital craniocerebral injury with concomitant forehead. Methods: Eighty patients with frontal orbital skull base open brain injury admitted to our hospital were selected. The clinical manifestations and surgical treatment were retrospectively analyzed. All of the above patients successfully completed an anterior skull base reconstruction repair surgery, while 5 patients underwent an optic canal decompression surgery, 2 patients underwent optic canal decompression surgery. RESULTS: No permanent cerebrospinal fluid leakage was observed in 1 patient after the procedure was completed. However, in 7 patients, visual acuity was significantly improved after optic nerve canal decompression was completed due to optic nerve canal injury. Before treatment, the good rate of GOS score was 81.25%. After treatment, the score of good rate was 100.00%. There was significant difference between the two groups (P <0.05). Conclusion: The treatment of patients with craniocerebral trauma with orbital anterior orbital floor focuses on saving the lives of patients, effectively repairing the anterior skull base and orbital defects, and further reducing the neurological dysfunction.