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目的:探讨重型颅脑损伤行标准外伤大骨瓣开颅术的疗效。方法:选择重型颅脑损伤患者96例,随机分为观察组48例,采用标准外伤大骨瓣开颅术;对照组48例,采用常规骨瓣开颅术,观察两组术后疗效及并发症情况。结果:观察组术后良好率为54.2%,对照组为25.0%,观察组良好率高于对照组(P<0.05)。观察组术后病死率为10.4%,对照组为16.7%,观察组病死率低于对照组(P<0.05)。观察组与对照组术后脑切口疝发生率分别为6.3%、22.9%,硬膜下积液发生率分别为8.3%、35.4%,观察组脑切口疝与硬膜下积液发生率均低于对照组(P<0.05)。结论:标准外伤大骨瓣开颅术治疗重型颅脑损伤疗效较好,能够降低常规骨瓣开颅术后并发症。
Objective: To evaluate the curative effect of craniotomy on severe traumatic brain injury by standard trauma craniectomy. Methods: Ninety-six patients with severe craniocerebral injury were randomly divided into observation group (n = 48) and standard craniotomy (n = 48). In control group, 48 patients were treated with conventional craniotomy. The curative effect and complications Symptoms. Results: The good rate of postoperative observation was 54.2% in the observation group and 25.0% in the control group, and the good rate in the observation group was higher than that in the control group (P <0.05). Postoperative mortality was 10.4% in the observation group and 16.7% in the control group, and mortality in the observation group was lower than that in the control group (P <0.05). The incidences of postoperative brain incision hernia in observation group and control group were 6.3% and 22.9% respectively, and the incidences of subdural effusion were 8.3% and 35.4% respectively. The incidences of brain incisional hernia and subdural effusion in observation group and control group were all low In the control group (P <0.05). Conclusion: The treatment of severe craniocerebral injury with standard trauma craniectomy is effective and can reduce the complications of conventional craniotomy.