大骨瓣开颅术治疗外伤后急性弥漫性脑肿胀的疗效分析  

Clinical effect of large trauma craniotomy in the treatment of posttraumatic acute diffuse brain swelling.

作　　者：贾凌晖 

机构地区：[1]龙山县人民医院神经外科,湖南龙山416800

出　　处：《海南医学》2013年第3期349-351,共3页Hainan Medical Journal

摘　　要：目的观察大骨瓣开颅术治疗外伤后急性弥漫性脑肿胀的临床疗效。方法将102例重型颅脑损伤患者按手术方法不同分为两组,手术组62例采用标准大骨瓣开颅减压术,保守组40例采用保守观察。观察两组术后恢复情况并进行对比分析。结果手术组患者术后恢复情况明显优于对照组,而死亡率和长期昏迷率则明显低于保守组(P<0.05)。结论标准大骨瓣开颅减压术治疗重型颅脑损伤具有操作简便、减压彻底等优点,可明显改善预后,减少后遗症,提高患者的生存质量。Objective To study the clinical efficacy of large trauma craniotomy in the treatment of posttrau-matic acute diffuse brain swelling. Methods One hundred and two patients with severe craniocerebral injury were randomly divided into two groups. Patients in the study group （n=62） group were treated with standard large trauma craniotomy, while those in the control group （n=40） received conventional therapy. The recovery of the patients were observed and compared between the two groups. Results The recovery after surgery in the study group was signifi- cantly better than that in the control group, with significantly lower mortality rate and long-term coma rate （P〈0.05）. Conclusion Standard large trauma craniotomy is effective for treating severe craniocerebral injury, with simple oper-ation and complete decompression, which can significantly ameliorate prognosis, reduce the sequela, and improve the patients＇ quality life.

关 键 词：外伤后急性弥漫性脑肿胀 大骨瓣开颅术 脑损伤 

分 类 号：R742.7[医药卫生—神经病学与精神病学]