标准大骨瓣开颅血肿清除术治疗重型颅脑创伤侧裂区损伤的效果观察  

Effect of Evacuation of Hematoma with Standard Large Bone-flap Craniotomy in the Treatment of Lateral Fissure Area Damage of Severe Traumatic Brain Injury

作　　者：周俊领[1] 卢君强[1] 庄瑞强[1] 张海刚 胡深 宋伟健[1] ZHOU Junling;LU Junqiang;ZHUANG Ruiqiang;ZHANG Haigang;HU Shen;SONG Weijian(Department of Neurosurgery,Shenzhen Nan-shan Hospital,Shenzhen 518052,Guangdong Province,China)

机构地区：[1]深圳市南山区人民医院神经外科,广东深圳518052

出　　处：《中国实用乡村医生杂志》2018年第7期64-66,共3页Chinese Practical Journal of Rural Doctor

基　　金：深圳市医学科研项目（编号：200405220）

摘　　要：目的探讨标准大骨瓣开颅血肿清除术治疗重型颅脑创伤侧裂区损伤的临床效果。方法选取2015年6月—2017年6月深圳市南山区人民医院收治的重型颅脑创伤侧裂区损伤患者80例，根据手术方式的不同分为标准组46例（标准大骨瓣开颅清除术）和常规组34例（常规大骨瓣开颅清除术）。结果总有效率标准组95．65％、常规组67．65％，差异有统计学意义（x2=6．58，P=0．01）。并发症总发生率标准组8．70％、常规组26．47％，差异有统计学意义（x2=4．54，P=0．03）。结论标准大骨瓣开颅血肿清除术治疗重型颅脑创伤侧裂区损伤，可提高疗效，降低相关并发症发生率，值得推广使用。Objective To discuss the clinical effect of evacuation of hematoma with standard large bone-flap craniotomy in the treatment of lateral fissure area damage of severe traumatic brain injury. Methods A total of 80 patients with lateral fissure area damage of severe traumatic brain injury were collected in Shenzhen Nan-shan Hospital from Jun 2015 to Jun 2017, and were randomly divided into standard group （46 cases, standard large bone- flap craniotomy treatment） and conventional group （34 cases, conventional large bone-flap craniotomy treatment） according to the operation method. Results The total effective rate in standard group was significantly higher than the conventional group （95.65% vs 67.65%, x2=6.58, P〈0.05）. The total incidence of complication in the standard group was significantly lower than the conventional group （8.70% vs 26.47%, x=4.54, P〈0.05）. Conclusion The evacuation of hematoma by standard large bone-flap craniotomy could improve the clinical efficacy and reduce the rate of complications, which is worth popularizing.

关 键 词：颅脑创伤 重型 侧裂区损伤 血肿清除术 标准大骨瓣 开颅 中国 

分 类 号：R651[医药卫生—外科学]