标准外伤大骨瓣开颅与常规骨瓣开颅术在治疗重型颅脑损伤中的疗效对比分析  

Comparison of the Efficacy of Standard Traumatic Craniotomy with Conventional Craniotomy in the Treatment of Severe Craniocerebral Injury

作　　者：詹世钦 马文斌 赵万里 李志祥 李旭 

机构地区：[1]松岗人民医院神经外科,广东深圳518105

出　　处：《中国伤残医学》2018年第3期9-11,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：对比标准外伤大骨瓣开颅与常规骨瓣开颅术在治疗重型颅脑损伤中的疗效.方法：按随机数字表法将114例重型颅脑损伤分为观察组和对照组,每组57例.对照组采用常规骨瓣开颅减压术,对观察组采用美国标准标准外伤大骨瓣开颅术,比较2组手术治疗后的临床疗效.结果：标准外伤大骨瓣观察组患者死亡率12.3％、重残及长期昏迷发生率33.3％,均低于对照组24.6％、42.1％,恢复良好及中残观察组54.4％,优于常规骨瓣对照组33.3％,差异具有统计学意义（p〈0.05）.术中急性脑膨出的发生率8.8％、迟发性血肿12.3％及外伤性脑积水发生率7.0％,常规骨瓣对照组高于标准外伤大骨瓣观察组15.8％、19.3％、12.3％（p〈0.05）.结论：标准外伤大骨瓣开颅术治疗重型颅脑损伤具有较好的临床疗效,且不良反应少,值得临床推广运用.Objectiv： To compare the efficacy of standard traumatic craniectomy with conventional craniotomy in the treatment of severe craniocerebral injury. Methods： 114 cases of severe craniocerebral injury were divided into experimental group and control group accord- ing to random number table method. The control group was treated with conventional bone flap craniotomy. The curative effect of the two groups was compared with that of the two groups. Results： The mortality rate （ 12.3% ）, severe disability and long - term coma （33. 3% ） were significantly lower in the treatment group （24.6% vs 42. 1% ） than those in the control group （54.4%） Was superior to the conventional bone flap control group （ 33.3% ）, the difference was statistically significant （ p 〈 0. 05 ）. The incidence of acute encephalocele （8.8%）, delayed hematoma （ 12.3% ） and the incidence of traumatic hydrocephalus （7.0%） were higher in the conventional bone flap group than in the standard traumatic large bone flap group （ 15.8% , 19.3% , 12.3% ） （p 〈0.05）. Condusion： The standard traumatic cranieetomy has a good clinical effect in the treatment of severe craniocerebral injury, and the adverse reaction is less and deserves clinical application.

关 键 词：重型颅脑损伤 标准外伤大骨瓣开颅 疗效 

分 类 号：R651.1[医药卫生—外科学]