标准大骨瓣开颅术结合颅内压监测治疗重型颅脑损伤  

Standard large trauma craniotomy with intracranial pressure monitoring in treatment of severe traumatic brain injury

作　　者：刘进[1] 叶碎林[1] 王伟明[1] 张学磊[1] 金一勤[1] 成力伟[1] 

机构地区：[1]温州医学院附属第六医院,丽水323000

出　　处：《浙江创伤外科》2012年第4期446-447,共2页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探讨标准大骨瓣开颅术结合颅内压监测治疗重型颅脑损伤的疗效。方法回顾性分析手术治疗重型颅脑损伤患者78例的临床资料,采用标准大骨瓣减压结合颅内压监测治疗38例患者为A组,采用常规骨瓣减压治疗40例患者为B组。比较两组患者术后6个月的临床疗效。结果 A组患者的临床效果好于B组。两组在术后6个月临床疗效方面比较,差异有统计学意义(P<0.05)。结论标准大骨瓣开颅术结合颅内压监测显著改善重型颅脑损伤患者的预后。Objective To explore the efficacy of standard large trauma craniotomy with intracranial pressure monitoring in treatment of severe traumatic brain injury. Methods Clinical data were retrospectively analyzed on 78 patients with severe traumatic brain injury. 38 cases treated by hemicranieetomy combined with standard intraeranial pressure monitoring were included in group A. 40 cases treated by conventional craniectomy were included in group B. The clinical efficacy of both two groups were compared 6 months later. Results Clinical efficacy of group A was better than that of group B. There was significant difference between the two groups （P〈0.05）. Conclusion Standard large trauma craniotomy with in- tracranial pressure monitoring significantly improved the prognosis of patients with severe traumatic brain injury..

关 键 词：标准大骨瓣开颅术 颅内压监测 重型颅脑损伤 

分 类 号：R651.15[医药卫生—外科学]