脑外伤后难治性弥漫性脑肿胀行双额大骨瓣减压术治疗效果分析  

Analysis of the Effect of Double Frontal Decompression of Refractory Diffuse Brain Swelling after Traumatic Brain Injury

作　　者：马文博 MA Wen-bo(Department of Neurosurgery,Hong'an County People's Hospital,Huanggang,Hubei Province,438400 China)

机构地区：[1]红安县人民医院神经外科,湖北黄冈438400

出　　处：《中外医疗》2020年第12期28-30,共3页China & Foreign Medical Treatment

摘　　要：目的有针对性的分析和探究脑外伤后难治性弥漫性脑肿胀行双额大骨瓣减压术治疗效果。方法便利选取2018年3月-2019年2月在该院脑外科进行治疗的脑外伤后难治性弥漫性脑肿胀患者60例,分成对照组和观察组,每组30例患者。其中针对对照的患者有效实施保守的常规降颅压治疗方法,而针对观察组是在对照组的基础上进一步实施双额大骨瓣减压术治疗方法。两组患者经过相对应的治疗干预之后,对其所呈现出的治疗效果和并发症发生几率等一系列相关情况进行相对应的分析和对比。结果两组患者经治疗后,对其进行随访6个月,观察组患者在预后较好率(93.33%)及并发症发生几率(3.33%)等一系列相关方面要十分显著的优于对照组较好率(73.33%)和并发率(20.00%),两组之间的对比,差异有统计学意义(χ^2=4.771、4.771,P<0.05)。结论针对脑外伤后难治性弥漫性脑肿胀患者而言,在具体的临床实践中对其进行有针对性的双额大骨瓣减压术治疗方法,能够呈现出十分显著的治疗效果,使患者的颅内压得到十分明显的降低,进一步提升治疗的总有效率,在根本上降低患者并发症的发生几率,这种方法更值得在具体的临床实践中不断推行。Objective To analyze and explore the therapeutic effect of double frontal bone flap decompression for refractory diffuse brain swelling after traumatic brain injury.Methods Sixty patients with refractory diffuse brain swelling after traumatic brain injury treated in brain surgery in the hospital from March 2018 to February 2019 were conveniently selected and divided into a control group and an observation group,with an average of 30 patients in each group.Among them,the conservative conventional method of reducing intracranial blood pressure was effectively implemented for the patients in the control group,while the double frontal bone flap decompression method was further implemented in the observation group based on the control group.After corresponding treatment interventions in the two groups of patients,a series of related conditions such as the therapeutic effects and the incidence of complications were analyzed and compared.Results The two groups of patients were followed up for 6 months after treatment.The observation group was significantly better than the control group in a series of related aspects such as better prognosis(93.33%)and complication rate(3.33%).The good rate(73.33%)and concurrency rate(20.00%).There was a significant statistical difference between the two groups(χ^2=4.771,4.771,P<0.05).Conclusion For patients with refractory diffuse brain swelling after traumatic brain injury,the targeted double frontal large bone flap decompression treatment in specific clinical practice can show a very significant treatment effect,so that the intracranial pressure of the patient is significantly reduced,which further improves the total effective rate of treatment and fundamentally reduces the incidence of complications.This method is more worthy of continuous implementation in specific clinical practice.

关 键 词：双额大骨瓣减压术 脑外伤后难治性弥漫性脑肿胀 治疗效果 

分 类 号：R651.11[医药卫生—外科学]