摘要
目的研究双侧去骨瓣减压开颅术治疗重症对冲性颅脑损伤的效果。方法选择平顶山市第一人民医院2015年4月—2018年4月收治的70例重症对冲性颅脑损伤患者进行研究,按照患者接受手术的不同方式进行分组,分为双侧组(35例)和单侧组(35例),分别接受双侧去骨瓣减压开颅术和标准单侧大骨瓣减压术治疗,比较两组效果。结果双侧组治疗总有效率为57.14%,单侧组手术总有效率为28.57%,P<0.05;双侧组术后1、3、7 d颅内压均低于单侧组,P<0.05;双侧组术后并发症发生率为5.71%,单侧组手术后并发症发生率为28.57%,P<0.05。结论双侧去骨瓣减压开颅术治疗重症对冲性颅脑损伤能显著提升手术安全性,改善患者生存状况以及预后,值得临床推广。
Objective To investigate the effect of bilateral craniotomy with decompression of bone flap in the treatment of severe contravening craniocerebral injury.Methods From April 2015 to April 2018 were analyzed in 70 cases of severe hedge patients with craniocerebral injury were studied,according to different ways to group of patients undergoing surgery,double side group of 35 cases,unilateral group 35 examples,respectively under bone disc decompression open-brain surgery and bilateral standard one big bone flap decompression treatment,compared two groups of results.Results The total effective rate was 57.14%in bilateral group and 28.57%in unilateral group(P<0.05).The intracranial pressure of the bilateral group was lower than that of the unilateral group at 1,3 and 7 days after surgery(P<0.05),and the incidence of postoperative complications was 5.71%in the bilateral group and 28.57%in the unilateral group(P<0.05).Conclusion Bilateral craniotomy with decompressive craniotomy can significantly improve the surgical safety,survival status and prognosis of patients with severe craniocerebral injury,which is worthy of clinical promotion.
作者
郭伟旭
GUO Wei-xu(The First People`s Hospital of Pingdingshan,Pingdingshan Henan 467000,China)
出处
《医药论坛杂志》
2019年第5期55-57,共3页
Journal of Medical Forum
关键词
颅脑损伤
双侧去骨瓣减压术
对冲性
craniocerebral injury
Bilateral flap decompression
Hedge sex
