锥颅血肿抽吸术联合开颅血肿清除术治疗外伤性颅脑损伤  

Clinical study of stereotaxic hematoma aspiration combined with craniotomy hematoma evacuation on treating patients with traumatic brain injury

作　　者：张建 

机构地区：[1]南京市明基医院神经外科,南京210004

出　　处：《中国实用神经疾病杂志》2014年第20期23-24,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的研究锥颅血肿抽吸术联合开颅血肿清除术在治疗外伤性颅脑损伤中的应用价值。方法选取2011-05—2013-08我院就诊的外伤性颅脑损伤并颅内出血患者120例为研究对象,根据血肿清除的方法不同分为给予锥颅血肿抽吸术联合开颅血肿清除术的观察组和仅给予开颅血肿清除术的对照组,比较2组患者血肿彻底清除率、昏迷状况及康复情况。结果观察组患者血肿彻底清除率(98.33%)、FM评分(50.7±7.3)、BI评分(75.1±12.3)高于对照组;治疗后1周、2周、4周时,观察组患者GCS评分(7.8±1.2、5.7±1.0、3.4±0.7)低于对照组。结论锥颅血肿抽吸术联合开颅血肿清除术有助于提高血肿清除率,改善患者昏迷状态和机体康复情况,具有积极的临床应用价值。Objective To investigate the application value of stereotaxic hematoma aspiration combined with craniotomy hematoma evacuation on treating patients with traumatic brain injury. Methods 120 patients with traumatic brain injury in our hospital from May 2011 to August 2013 were divided into the observation group （treated with stereotaxic hematoma aspiration combined with craniotomy hematoma evacuation ） and control group （craniotomy hematoma evacuation ） ,the hematoma clear-ance rate ,coma and recovery condition of two groups were compared. Results The hematoma clearance rate ,FM score and BI score of observation group were 98.33% ,50.7 ± 7.3 and 75.1 ± 12.3 and higher than these of control group ;the GCS score of observation group was 7.8 ± 1.2 ,5.7 ± 1.0 and 3.4 ± 0.7 and lower than these of control group at 1 ,2 ,3 and 4 weeks after treatment. Conclusion Stereotaxic hematoma aspiration combined with craniotomy hematoma evacuation can help to increase the hematoma clearance rate and improve the coma and recovery condition of patients ,which is worthy of application.

关 键 词：颅脑损伤 颅内出血 血肿清除 

分 类 号：R651.15[医药卫生—外科学]