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《Journal of Medical Research》 2015-05
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Influence of Cranioplasty in Different Surgical Time on Cerebral Hemodynamics

Fu Junfei;Bian Ge;Li Min;Ningxia Medical University;  
Objective To observe the influence of different operation time about cranioplasty on cerebral hemodynamics. Methods Thirty patients who were undergoing early( 3 months) or late( ≥3months) cranioplasty after decompressive craniectomy were analysed retrospectively. We collected data about regional rebral blood volume( rCBV),regional cerebral blood flow( rCBF),mean transit time( MTT) and transit time peak( TTP) at the affected cortex,basal nuclei and thalamus which were recorded by 256 CT perfusion technique,then calculated the changes of these data between 3- 4 days before and 10- 14 days after surgery and analyzed by the software SPSS 11. 5. Results The changes of CBF at injured side cortex [14. 94 ± 3. 42 ml /( 100g· min) ],basal nuclei[14. 94 ± 3. 42 ml /( 100g·min) ]in the early group compared with late craniplasty [cortex10. 74 ± 4. 04ml/( 100g·min),basal nuclei 9. 94 ± 5. 12ml/( 100g·min) ]were increased statistically( P 0. 05). The changes of MTT in the early group(- 2. 10 ± 1. 59s) and late craniplasty(-0. 96 ±1. 09s) were also statistically significanct( P 0.05). Conclusion Early craniplasty has potential benefits for cerebral perfusion.
【CateGory Index】: R651.1
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