天幕切开脑疝复位术在重型脑外伤中的应用  

Application of tentorium cerebelli hiatus incision in severe traumatic brain injury

作　　者：刘正清[1] 罗琴[2] 买买提艾力.吐尔逊 买买提吐尔洪.依明 陈勇[1] 颜云峰[1] 米尔卡斯木.吾布力 玉山江.莫合太尔 

机构地区：[1]喀什地区第一人民医院神经外二科,新疆喀什844000 [2]新疆生产建设兵团第三师医院妇产科

出　　处：《包头医学院学报》2017年第8期60-61,共2页Journal of Baotou Medical College

摘　　要：目的:探讨天幕切开脑疝复位在重型脑外伤中的应用效果。方法:选取2012年1月至2017年1月收治的170例重型脑外伤脑疝患者,依据手术方式不同将研究对象分为观察组和对照组,每组各85例,观察组患者行天幕切开脑疝复位术,对照组患者行常规开颅手术,对比两组患者的治疗效果。结果:观察组患者的中残率高于对照组(P<0.05),死亡率低于对照组(P<0.05);观察组患者的并发症发生率为16.5%,低于对照组的61.2%(P<0.05)。结论:天幕切开脑疝复位术在重型脑外伤中的应用效果较好,适合临床推广应用。Objective： To explore the effect of tentorium cerebelli hiatus incision on severe brain injury. Methods： 170 patients with severe traumatic brain injury hospitalized from January 2012 to January 2017 were chosen and randomly divided into the observation group and the control group according to different ways of operation,85 patients in each group. The observation group was treated with tentorium cerebelli hiatus incision while the control group was treated with conventional craniotomy,with the therapeutic efficacy compared. Results： The moderate disability rate of the patients in the observation group was significantly higher than that in the control group（ P〈0. 05）; the mortality rate in the observation group was significantly lower than that in the control group（ P〈0. 05）. The incidence of complications in the observation group was 16. 5 %,which was significantly lower than that of the control group（ 61. 2 %）（ P〈0. 05）. Conclusion： Tentorium cerebelli hiatus incision is very effective in treating severe traumatic brain injury,suitable for clinical application.

关 键 词：天幕切开脑疝复位术 重型脑外伤 脑疝 

分 类 号：R651.15[医药卫生—外科学]