摘要
目的探讨标准外伤大骨瓣开颅术治疗重型颅脑损伤的手术方法及临床疗效。方法将2003年1月～2008年12月我院收治的77例重型颅脑损伤患者随机分为两组,治疗组(n=37):采用标准外伤大骨瓣开颅术,对照组(n=40):采用常规骨瓣开颅术,观察记录两组术后恢复情况,并进行随访,比较两组的并发症发生率及预后。结果两组并发症总发生率分别为48.65%、72.50%,差异有统计学意义(χ2=4.60,P<0.05)。术后随访6～24月,按格拉斯哥预后评分标准(GOS)进行分级,两组存活率、良好率比较,差异有统计学意义(χ2=4.39,P<0.05;χ2=4.65,P<0.05)。结论标准外伤大骨瓣开颅术治疗重型颅脑损伤具有显露充分,减压彻底等优点,可明显改善预后。
【Objective】To explore the techniques and clinical curative effect of standard large trauma craniotomy in the treatment of severe craniocerebral injury. 【Methods】77 patients with severe craniocerebral injury, who were hospitalized in our hospital from January 2003 to December 2008, were randomly divided into 2 groups： standard large trauma craniotomy was performed in experiment group （n =37） and routine temporoparietal craniectomy was performed in control group （n =40）. The condition of postoperative recovery were observed and recorded and follow up was performed. Subsequently, a comparison was performed on the incidence of complications and prognosis.【Results】The total incidence of complications in experiment group and control group were 48.65%, 72.50%, respectively. There was statistically significant difference between them （χ2=4.60, P 0.05）. Postoperative follow up of 6 ～24 months was performed. According to Glasgow outcome scale （GOS）, survival rate and good and perfect rate were compared with statistically significant difference （χ2=4.39, P 0.05; χ2=4.65, P 0.05）. 【Conclusion】 Standard large trauma craniotomy can be applied in the treatment of severe craniocerebral injury with advantages such as sufficient exposure, thorough decompression and significantly improved prognosis.
出处
《中国医学工程》
2009年第4期279-281,共3页
China Medical Engineering
关键词
重型颅脑损伤
标准大骨瓣开颅术
常规骨瓣开颅术
预后
severe craniocerebral injury
standard large trauma craniotomy
routine temporoparietal craniectomy
prognosis
