标准外伤大骨瓣减压术治疗额颞顶部重型颅脑损伤预后分析  

Prognostic analysis of standard large trauma craniectomy on the patients with frontotemporal and parietal craniocerebral injury

作　　者：于新华[1] 由春玲[1] 杨文辰[1] 孙义程[1] 

机构地区：[1]山东省海阳市人民医院神经外科,山东海阳265100

出　　处：《中国现代医学杂志》2010年第11期1690-1692,共3页China Journal of Modern Medicine

摘　　要：目的评价标准外伤大骨瓣减压手术治疗严重对冲性颅脑损伤的疗效。方法 38例重型额顶部重型颅脑损伤患者采用标准外伤大骨瓣开颅减压手术治疗,并与同期收治的32例常规骨瓣开颅手术组进行比较,分析其疗效。结果标准外伤大骨瓣减压手术治疗组38例中,恢复良好25例(65.78%),死亡6例(15.79%);常规骨瓣开颅手术组32例中,恢复良好12例(37.50%),死亡13例(40.62%),两组恢复良好率和死亡率差异有显著性(P<0.05),标准外伤大骨瓣减压手术治疗组预后明显优于常规骨瓣开颅手术组。结论标准外伤大骨瓣内外减压手术能明显改善额颞顶部重型颅脑损伤患者的预后,并降低死亡率。[Objective]To evaluate the efficacy of standard large trauma craniectomy on the patients with severe frontotemporal and parietal craniocerebral injury. [Methods]Thirty-eight patients with frontotemporal and parietal craniocerebral injury were treated with decompression of standard large trauma craniectomy compared with 32 cases of routine temporoparietal craniectomy.[Results]In standard large trauma craniectomy group, 25 cases got good recovery （65.78%） and 6 were dead （15.79%）. In routine temporoparietal craniectomy group, 12 cases got good recovery （37.50%） and 13 were dead （40.62%）. There was significant difference between the two groups in good recovery and mortality （P 0.05）. The outcome of standard large traumacraniectomy group was better than that of routine temporoparietal craniectomy group.[Conclusions]The decompression of standard large trauma craniectomy significantly improves the outcome of patients with severe frontotemporal and parietal craniocerebral injury and reduces the mortality.

关 键 词：颅脑损伤 颅骨切开术 标准外伤大骨瓣减压手术 

分 类 号：R651.1[医药卫生—外科学]