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效果观察  

Observation of effect by transcranial haematoma aspiration combined with craniotomy hematoma clearance in the treatment of traumatic brain injury

作　　者：江俊毅 黄伟豪 罗飚 邓智峰 

机构地区：[1]广东省江门市台山市人民医院神经外科,529200

出　　处：《中国实用医药》2015年第16期27-29,共3页China Practical Medicine

摘　　要：目的探讨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的临床价值。方法 62例外伤性颅脑损伤患者,随机分为观察组(33例)和对照组(29例)。对照组给予传统开颅血肿清除术治疗,观察组在对照组治疗基础上给予锥颅血肿抽吸术,观察两组患者治疗疗效。结果观察组患者术后1、2、4周格拉斯哥昏迷评分(GCS评分)均显著低于对照组,差异有统计学意义(P<0.05);观察组患者治疗后Barthel指数显著高于对照组,差异有统计学意义(P<0.05)。结论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可提高血肿清除率,减轻昏迷状态,改善预后,具有较好的应用前景。Objective To investigate the clinical value of transcranial haematoma aspiration combined with craniotomy hematoma clearance in the treatment of traumatic brain injury. Methods A total of 62 patients with traumatic brain injury were randomly divided into observation group （33 cases） and control group （29 cases）. The control group received traditional craniotomy hematoma clearance, and the observation group received additional transcranial haematoma aspiration. Curative effects of the two groups were compared. Results The observation group had much lower Glasgow coma scale （GCS scores） in 1, 2, 4 weeks after operation than the control group, and their difference had statistical significance （P〈0.05）. The observation group had obviously higher Barthel score after treatment than the control group, and their difference had statistical significance （P〈0.05）. Conclusion Combination of transeranial haematoma aspiration and craniotomy hematoma clearance can increase hematoma clearance rate, reduce comatose state, and improve prognosis. This method contains bright prospect of application.

关 键 词：外伤性颅脑损伤 开颅血肿清除术 锥颅血肿抽吸术 

分 类 号：R651.1[医药卫生—外科学]