相继去骨瓣减压在重症颅脑外伤中的应用分析  

Application analysis of sequential decompressive craniectomy on severe craniocerebral injury

作　　者：梁俊君[1] 孙宏亮[1] 王海鹏[1] 孙桂祥[1] 徐晓胜 薛伟[1] 

机构地区：[1]山东省安丘市人民医院神经外科,山东安丘262100

出　　处：《中国当代医药》2013年第6期61-62,共2页China Modern Medicine

摘　　要：目的探讨相继去骨瓣减压在重症颅脑外伤中的临床应用价值。方法选择64例重型颅脑外伤患者分为观察组及对照组,观察组采用双侧相继去骨瓣减压术,对照组采用双侧同时去骨瓣减压术,比较两组临床治疗效果。结果观察组重度残疾的比率低于对照组(P<0.05),观察组发生硬膜下积液和术后再出血的比率低于对照组(P<0.05)。结论相继双侧去骨瓣减压术能较缓和的降低颅内压,避免了再次出血的和硬膜下积液,提高患者的手术效果。Objective To investigate the clinical application effect of sequential decompressive craniectomy on severe craniocerebral injury. Methods Sixty-four cases of patients with severe craniocerebral injury were divided into observation group and control group, sequential deeompressive cranieetomy were taken in observation group and coinstantaneous deeompressive craniectomy were taken in control group, clinical effect of two groups were compared. Results Incidence of severe disability in observation group was lower than control group （P 〈 0.05）. Subdural effusion and postoperative re-bleeding rate in observation group was lower than control group （P 〈 0.05）. Conclusion Sequential decompressive eranieetomy could modified intraeranial pressure on severe eraniocerebral injury, avoid subdural effusion and postoperative hemorrhage, improve effect of operation.

关 键 词：相继去骨瓣减压 同时去骨瓣减压 重症颅脑外伤 临床应用 

分 类 号：R651.15[医药卫生—外科学]