标准大骨瓣治疗颅脑损伤致大面积脑梗死临床价值评析  

Clinical Value of Standard Large Bone Flap in Treatment of Large Area Cerebral Infarction Caused by Craniocerebral Injury

作　　者：顾相海[1] 

机构地区：[1]内蒙古包钢医院神经外科,内蒙古包头014010

出　　处：《中国继续医学教育》2016年第35期92-93,共2页China Continuing Medical Education

摘　　要：目的 讨论标准大骨瓣治疗颅脑损伤致大面积脑梗死的临床价值,并作出相应的分析。方法 选取2012年3月-2013年3月来我院接受治疗的颅脑损伤致大面积脑梗死患者30例作为研究对象,将其随机分为对照组与观察组,每组各15例患者。对照组采用常规的开颅减压术,观察组采用标准大骨瓣开颅减压术进行相关的治疗,比较两组患者治疗的临床效果。结果 治疗后,观察组与对照组的临床治疗的总有效率分别为86.67%,46.67%,观察组优于对照组,差异具有统计学意义（P〈0.05）。结论 采用标准大骨瓣治疗颅脑损伤致大面积脑梗死,能够帮助患者快速恢复健康。Objective To discuss the clinical value of standard large bone flap in treatment of large area cerebral infarction caused by craniocerebral injury, and to make corresponding analysis. Methods A total of 30 cases of patients with large area cerebral infarction were randomly divided into control group and observation group from March 2012 to March 2013, 15 cases in each group. These patients were randomized. The control group was treated with conventional craniotomy, and the observation group was treated with standard large craniectomy. The clinical effect of two groups was compared. Results After treatment, the total effective rate of the observation group and the control group was 86.67%, respectively, and the total effective rate was 46.67%, the observation group was better than the control group, the difference was statistically significant（P〈0.05）. Conclusion The use of standard large bone flap in the treatment of large area cerebral infarction caused by craniocerebral injury can help patients to quickly restore health, worthy of clinical popularization and use.

关 键 词：标准大骨瓣 颅脑损伤 脑梗死 

分 类 号：R651.15[医药卫生—外科学]