特急性外伤性颅内血肿个体化手术时机与方案  

Opportunity time and plan of individualized surgery in patients with severe craniocerebral injury

作　　者：曹金昌 吴启运 唐荣武 巫定明 赵军 杨坤 刘洪 CAO Jin-chang;WU Qi-yun;TANG Rong-wu;WU Ding-ming;ZHAO Jun;YANG Kun;LIU Hong(Department of Neurosurgery,Jiangyou Municipal Second Hospital,Jiangyou 621700,China)

机构地区：[1]江油市第二人民医院神经外科,四川621700 [2]江油市第二人民医院肿瘤中心,四川621700

出　　处：《中国临床神经外科杂志》2019年第4期214-217,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨个体化手术治疗特急性外伤性颅内血肿的疗效。方法回顾性分析2009年1月至2018年1月手术治疗的126例特急性外伤性颅内血肿的临床资料,急诊常规急诊开颅手术61例(常规手术组),个体化手术65例(个体化手术组)。结果与常规手术组相比,个体化手术组术中脑膨出、术后迟发性血肿、颅骨缺损、脑积水、继发性癫痫的发生率均显著降低(P<0.05);术后6个月,按GOS评分评估预后,个体化手术组恢复良好率明显增高(P<0.05)。结论对于特急性外伤性颅内血肿,个体化手术方案能显著提高疗效,减少并发症发生率。Objective To investigate the outcomes and advantages of opportunity and method of individualized operation in the patients with severe craniocerebral injury (sCCI).Methods Of 126 patients with sCCI,61 underwent conventional emergent surgery (CES) and 65 individualized surgery (IS) from January,2009 to January,2018 in our hospital.The rates of perioperative complications and the prognoses 6 months after the surgery were compared between both the groups.Results The rate of complications including intraoperative encephalocele,postoperative delayed hematoma,skull defect,hydrapgalus and epilepsy was significantly lower in IS group than that in CES group (P<0.05).The rate of good prognosis was significantly higher in IS group than that in CES group 6 months after the surgery (P<0.05).Conclusion IS is very helpful to decrease in the rate of intraoperative and postoperative complications occurrences and improvement of the prognoses in the patients with sCCI.

关 键 词：颅脑损伤 特急性颅内血肿 并发症 个体化手术 

分 类 号：R651.15[医药卫生—外科学] R651.11[医药卫生—临床医学]