大骨瓣开颅减压术在对冲性颅脑损伤治疗中的应用观察  

Application of Large Trauma Craniotomy in the Treatment of Contrecoup Craniocerebral Injury

作　　者：刘瑞太[1] 潘福茂 王建国[1] 李师臣 王金磊[1] 

机构地区：[1]山东省临朐县人民医院脑外三科,临朐262600

出　　处：《中国医药导刊》2014年第9期1210-1211,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨大骨瓣开颅减压术治疗对冲性重型颅脑损伤的疗效。方法：选择2005年2月～2013年10月我院收治的120例对冲性重型颅脑损伤患者，并依所接受的不同治疗方案随机分组，对照组患者60例、采用常规骨瓣开颅手术治疗，观察组患者60例、采用大骨瓣开颅减压手术治疗，比较疗效。结果：经临床观察，观察者的病死率、并发症发生情况明显少于对照组，组间差异（P＜0.05），有统计学意义；且观察组患者的术后颅内压水平明显低于对照组，组间差异（P＜0.05），有统计学意义。结论：大骨瓣开颅减压术是临床治疗对冲性重型颅脑损伤的有效方式，疗效显著，安全性高。Objective： To investigate the therapeutic effect of large trauma craniotomy in the treatment of contrecoup severe craniocerebral injury.Methods：120 patients with contrecoup severe craniocerebral injury patients from 2005 February ～2013 year in October in our hospital, and randomly grouped according to different treatment received, the control group of 60 cases, treated with routine craniectomy operation, patients in the observation group, 60 cases with large bone flap craniotomy decompression operation treatment,curative effect.Results：The clinical observation, the mortality rate of the observer, and incidence of complications was significantly less than that of the control group, the differences between groups （P〈0.05）, there is statistical significance; intracranial pressure and the observation group was significantly lower than the control group, the differences between groups （P〈0.05）, there was statistical significance.Conclusion：Large trauma craniotomy is an effective way, the clinical treatment of contrecoup craniocerebral injury has obvious curative effect, high safety.

关 键 词：大骨瓣开颅减压术 对冲性颅脑损伤 病死率 并发症 

分 类 号：R651.15[医药卫生—外科学]