锥或钻颅引流减压在创伤性脑疝患者中的应用价值及对预后的影响  

The applied value and prognosis of drilling drainage decompression in diagnosing traumatic hernia

作　　者：张忠祖[1] 艾卫青[1] 

机构地区：[1]佛山市顺德区新容奇医院神经科,广东528303

出　　处：《中国临床新医学》2017年第5期456-458,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨锥或钻颅引流减压在创伤性脑疝患者中的应用价值及对预后的影响。方法将2013-10~2015-10该院收治的创伤性脑疝患者98例随机分为对照组和观察组,各49例,分别采用急诊去骨瓣减压治疗及开颅术前紧急床旁锥或钻颅引流减压治疗,比较两组治疗前后格拉斯哥昏迷指数(GCS)评分及术后并发症发生情况。结果治疗前两组GCS评分比较差异无统计学意义(P>0.05),治疗后观察组GCS评分明显高于对照组(P<0.01)。观察组术后并发症发生率为6.12%,明显低于对照组的20.41%(P<0.05)。结论应用锥或钻颅引流减压治疗创伤性脑疝效果显著,可有效降低患者术后并发症发生率,改善预后。Objective To investigate the applied value and prognosis of drilling drainage decompression in diagnosing traumatic hernia. Methods Ninety-eight patients with traumatic hernia in our hospital from October 2013 to October 2015 were randomly divided into the control group and the observation group, with 49 cases in each group. Decompressive craniotomy or drilling drainage decompression was performed on the patients at the bedside in emer- gency before craniofomy. Glasgow coma scale（GCS） scores and postoperative complications were compared between the two groups before and after the treatment. Results There were no significant differences in the GCS scores be- tween the two groups before the treatment（P 〉0. 05）. After the treatment, the GCS scores of the observation group were significantly higher than those of the control group（ P 〈 0.01 ）. The postoperative complication rate of the obser- vation group（6. 12% ） was significantly lower than that of the control group （P 〈 0. 05）. Conclusion Skull drilling drainage decompression is effective in the treatment of traumatic brain hernia. It can effectively reduce the incidence of postoperative complications and improve the prognosis.

关 键 词：锥或钻颅引流减压 创伤性脑疝 去骨瓣减压 

分 类 号：R651.1[医药卫生—外科学]