天幕裂孔切开术治疗合并天幕裂孔疝形成的重型颅脑损失的临床观察  

Observe clinical of using awning hiatus section to treat awning hiatus hernia supervened heavy craniocerebral loss.

作　　者：王有存 

机构地区：[1]河池市第一人民医院神经外科,广西河池546300

出　　处：《四川医学》2013年第4期543-544,共2页Sichuan Medical Journal

摘　　要：目的探究与分析天幕裂孔切开术治疗合并天幕裂孔疝形成的重型颅脑损伤患者的临床观察。方法选取我院收治的120重型颅脑损伤的患者，将其作为临床研究对象，采取随机数字表法分成对照组与试验组，对照组患者血肿清除。不进行天幕裂孔切开术进行治疗，试验组患者在对照组的基础上进行天幕裂孔进行治疗，观察与比较两组患者经不同治疗方式后的预后情况，观察并分析两组患者并发症发生情况。结果试验组患者的恢复良好人数较对照组高38．84％，差异有统计学意义（P〈0．05）。试验组患者的并发率低于对照组30％，差异有统计学意义（P〈0．05）。结论天幕裂口切开术治疗合并天幕裂孔疝形成的重型颅脑损失患者的临床效果显著，不良反应较少，且具有一定的安全性，患者及其家属满意程度较高，值得在临床范围内广泛推广。Objective To discuss and anlyze clinical value of using awning hiatus section to treat awning hiatus hernia supervened heavy craniocerebral loss patients. Methods Chose 120 cases of these heavy craniocerebral loss patients who have been admitted at our hospital as clinical study objectives ,divided them inot control group and experimental group according to random number table,gave hematoma clearance to control group＇ s patients as treatment, and did not give awning hiatus section to them,while proceeded awning hiatus section to experimental group＇ s patients on the basis of control group＇ s patients, observed and compared these two groups＇ patients＇ prognosis conditions and their happening situations of complication safter they received different treatments. Results The number of patients who recovered very good in experimental group was 38.84% more than control group＇ s ,P 〈 0.05,it has statistics emaning. And experimental group＇ s patients＇ happening rate of complications was 30% lower than control group ＇ s, P 〈 0.05,it has statistics meaning. Conclusion Awning hiatus section has significant clinical effect on the treatment of awning hiatus hernia supervened heavy craniocerebral loss patients, and it produce fewer adverse reactions and has cer- tain security, patients and their families are satisfied with it, it is worthy of clinical promotion.

关 键 词：天幕裂孔切开术 颅脑损失 临床疗效 预后效果 

分 类 号：R651.15[医药卫生—外科学]