摘要
目的探究标准去大骨瓣减压手术治疗老年重型颅脑损伤的疗效及安全性。方法选取2013年4月~2016年4月我院收治的老年重型颅脑损伤患者33例,按就诊的时间顺序分为观察组17例和对照组16例。观察组给予标准去大骨瓣减压手术治疗,对照组给予常规颞顶骨瓣开颅手术治疗,观察比较两组患者的治疗优良率,手术前、后颅内压以及并发症发生情况。结果观察组的治疗总有效率为70.59%,对照组为37.5%,组间差异具有统计学意义(P<0.05)。手术前,两组患者的颅内压比较,差异无统计学意义(P>0.05);手术后,两组患者的颅内压均较手术前有所改善,且观察组的改善幅度明显优于对照组(P<0.05)。两组患者术后并发症发生率比较,观察组为11.76%,对照组为43.75%,组间比较差异有统计学意义(P<0.05)。结论老年重型颅脑损伤治疗中,应用标准去大骨瓣减压手术治疗的临床疗效确切,并可降低颅内压和术后并发症发生率,值得临床应用和推广。
Objective To explore the efficacy and safety of standard large bone flap decompression for the treatment of severe craniocerebral injury in the elderly. Methods 33 elderly patients with severe craniocerebral injury admitted to our hospital in April April 2013 ~2016 were selected and divided into observation group（n=17）and control group（n=16）according to the time of visiting patients.The observation group was treated with standard big bone flap decompression surgery,the control group was given conventional temporal parietal bone flap craniotomy treatment,observation and comparison of treatment group and control group before and after operation,the excellent rate of intracranial pressure and complications. Results The good rate of treatment in the observation group was 70.59%,and the good rate of treatment in the control group was 37.5%,the difference was statistically significant（P〈0.05）.Before operation,there was no significant difference between the two groups of intracranial pressure（P〉0.05）.After the operation,the intracranial pressure in the two groups was better than that before the operation,but the advantage of the observation group was more prominent（P〈0.05）.The incidence of postoperative complications in the observation group and the control group were 11.76%,43.75%,and the comparison between the groups（P〈0.05）. Conclusion Standard large decompressive craniectomy is effective in the treatment of severe craniocerebral injury in elderly patients,and it can reduce intracranial pressure and postoperative complication rate.It is worthy of application and promotion in the treatment of severe craniocerebral injury in the elderly.
作者
磨诚
MO Cheng(The Ninth People＇s Hospital of Nanning City＇Nanning,Guangxi,530409,China)
出处
《蛇志》
2018年第2期275-276,302,共3页
Journal of Snake
关键词
去大骨瓣减压手术
老年重型颅脑损伤
临床疗效
安全性
Decompression of large bone flap
Severe craniocerebral injury in the elderly
Clinical efficacy
Safety
