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临床效果。方法:选取笔者所在医院2010年4月-2014年6月收治的84例重型颅脑损伤患者作为研究对象,按照随机数字表法将其分为对照组43例和试验组41例,对照组采取常规骨瓣开颅术治疗,试验组采取标准外伤大骨瓣开颅术治疗,观察比较两组患者术后第3、7天颅内压、并发症发生情况及临床疗效。结果:试验组术后第3、7天的平均颅内压均明显低于对照组,术后并发症发生率26.8%(11/41)明显低于对照组的51.2%(22/43),术后恢复良好率53.7%(22/41)明显高于对照组的30.2%(13/43),差异均有统计学意义(P<0.05)。结论:外伤大骨瓣减压术能更好地清除血肿和坏死脑组织,减压充分,并发症少,具有较高的临床应用价值。
Objective：To investigate the clinical effect of standard large trauma craniotomy in the treatment of severe traumatic brain injury. Method：84 patients with severe brain injury admitted to our hospital from April 2010 to June 2014 were selected,they were randomly divided into the control group for 43 cases and the experimental group for 41 cases.The control group was treated with the conventional bone flap craniotomy surgery,the experimental group was treated with the standard large trauma craniotomy.The intracranial pressure at 3 and 7 days after surgery,complications and clinical efficacy between the two groups were observed and compared.Result：The mean intracranial pressure of the experimental group at 3 and 7 days after surgery were significantly lower than the control group,the incidence of postoperative complications of the experimental group was 26.8%（11/41）, which was significantly lower than 51.2%（22/43） of the control group,the rate of good recovery after surgery in the experimental group was 53.7%（22/41）, which was significantly higher than 30.2%（13/43） of the control group,the differences were statistically significant（P〈0.05）.Conclusion：Large trauma craniotomy can better remove hematoma and necrotic brain tissue and full decompression,fewer complications,has high clinical value.
出处
《中外医学研究》
2015年第8期8-10,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
外伤大骨瓣开颅术
颅脑损伤
远期效果
Large trauma craniotomy
Traumatic brain injury
Long-term effect
