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目的比较标准大骨瓣与常规骨瓣减压术对颅脑损伤所致大面积脑梗死患者的临床疗效。方法回顾性分析我院收治的45例颅脑损伤致大面积脑梗死患者的临床资料,按手术方法分为标准大骨瓣术组23例和常规减压术组22例,比较两组患者术后的临床疗效与并发症情况。结果标准大骨瓣术组恢复良好率、中残率显著高于常规减压术组,死亡率显著低于常规减压术组(P<0.05);并发症发生率显著低于常规减压术组,切口疝、癫痫发生率显著低于常规减压术组,硬膜下积液发生率显著高于常规减压术组(P<0.05)。结论标准大骨瓣术治疗脑颅损伤致大面积脑梗死患者并发症相对较少,疗效更优。
Objective To compare the clinical effects of standard large bone flap and conventional decompression of bone flap on large area cerebral infarction caused by craniocerebral injury. Methods The clinical data of 45 patients with cerebral infarction with craniocerebral trauma who were admitted to our hospital were retrospectively analyzed. According to the surgical methods, they were divided into two groups according to the method of operation: 23 cases of standard large bone flap and 22 cases of conventional decompression. After the clinical efficacy and complications. Results The recovery rate and the rate of moderate morbidity in the standard large-flap surgery group were significantly higher than those in the conventional decompression group and the mortality rate was significantly lower than that in the conventional decompression group (P <0.05). The complication rate was significantly lower than that of the conventional decompression The incidence of incisional hernia and epilepsy was significantly lower than that of conventional decompression group. The incidence of subdural effusion was significantly higher than that of conventional decompression group (P <0.05). Conclusion The treatment of large craniocerebral trauma in patients with large-area cerebral infarction caused by standard large-bony flap is relatively less and the curative effect is better.