血肿清除及去骨瓣减压术在创伤性迟发性脑出血中的治疗价值  

Therapeutic Value of Hematoma Evacuation and Bone Flap Decompression in the Treatment of Traumatic Delayed Cerebral Hemorrhage

作　　者：刘悦[1] 卢明[1] 莫创骑 徐立[1] 邵先矛 

机构地区：[1]南京市浦口区中心医院,江苏南京211800

出　　处：《山西职工医学院学报》2016年第4期5-7,共3页Journal of Shanxi Medical College for Continuing Education

基　　金：南京市浦口区社会事业科技项目(S2015-14)

摘　　要：目的：探讨血肿清除术及去骨瓣减压术在创伤性迟发性脑出血中的治疗价值。方法：选取南京市浦口区中心医院2013年8月～2015年12月收治的45例创伤性迟发性脑出血的患者为研究对象,其中30例采用血肿清除及去骨瓣减压术治疗（观察组）,15例采用保守治疗（对照组）,比较两组治疗前后的昏迷情况及预后。结果：观察组治疗后的GCS评分高于对照组,差异有统计学意义（P〈0.05）。观察组预后良好率高于对照组,死亡率低于对照组,差异有统计学意义（P〈0.05）。结论：血肿清除术及去骨瓣减压术能够降低创伤性迟发性脑出血患者的致残率和病死率,改善患者的预后。Objective： To investigate the value of hematoma evacuation and bone flap decompression in the treatment of traumatic delayed cerebral hemorrhage. Methods： 45 cases of traumatic delayed intracerebral hemorrhage patients from August 2013 to December 2015 were selected as the research object,in which 30 cases were given hematoma clearance and decompressive craniectomy treatment（ the observation group） and 15 cases were treated with conservative treatment（ the control group）. The two groups were compared of coma and prognosis before and after the treatment and prognosis. Results： The GCS score after treatment in the observation group was higher than that of the control group.There was statistically significant difference（ P〈0. 05）. The prognosis in the observation group was better than that in the control group and the mortality rate was lower than that in the control group. There was statistically significant difference（ P〈0. 05）. Conclusion： The hematoma evacuation and bone flap decompression can reduce the rate of disability and mortality of traumatic delayed cerebral hemorrhage patients and improve their prognosis.

关 键 词：血肿清除 去骨瓣减压术 创伤性迟发性脑出血 治疗 

分 类 号：R651[医药卫生—外科学]