标准大骨瓣-控制减压治疗特重型颅脑损伤的体会  

Application and effects of ladder-type intracranial decompression technology in acute serious craniocerebral injury

作　　者：任祖东[1] 黎明[1] 李明[1] 戴荣权[1] 吕文革[1] 朱庆宝[1] 周夏[1] 舒志强[1] 

机构地区：[1]安徽省马鞍山市人民医院神经外科,安徽马鞍山243000

出　　处：《中国现代医学杂志》2014年第26期103-105,共3页China Journal of Modern Medicine

摘　　要：目的探讨标准大骨瓣-控制减压治疗重型、特重型颅脑伤的临床疗效。方法将48例重型、特重型颅脑伤分成两组进行回顾性总结,采用标准大骨瓣-控制减压手术方法者为治疗组,采用传统开颅者为对照组。结果按GOS治疗结果,治疗组良好率较对照组提高16.67%,治疗组死亡率较对照组下降12.5%;术后脑梗死的发生率治疗组较对照组下降12.5%(P<0.05)。结论标准大骨瓣-控制减压通过颅内压力的逐步释放,降低或延缓了术中急性脑膨出,对改善重型、特重型颅脑创伤患者的预后起到了积极的救治作用。[Objective] To investigate the application of ladder-type intracranial decompression and its therapeutic effect. [Methods] With retrospective analysis, forty- eight patients with craniocerebral injury, serious eraniocerebral injury were randomly divided into two groups： ladder- type group （n =24） and control group （n =24）. [Results] By GOS, the recovery rate of ladder-type group has been increased by 16.67% that is higher than the control group, and the death and cerebral infarction rate of ladder- type group both have been reduced by 12.5% that is lower than the control group （P〈0.05）. [Conclusion] The ladder-type intracranial decompression can reduce the perioperative craniocerebral trauma complications via gradual release of intracranial pressure, which has significance in the treatment and prognosis of serious craniocerebral injury.

关 键 词：重度颅脑损伤 颅骨切除术 控制减压 手术方法 

分 类 号：R651.15[医药卫生—外科学]