标准外伤大骨瓣开颅术与传统手术治疗颅脑损伤的效果比较  

Comparison of the effect of standard large trauma craniotomy and traditional craniotomy in the treatment of craniocerebral injury

作　　者：高付刚 GAO Fugang(Neurosurgery Department,Traditional Chinese Medicine Hospital of Minquan County,Shangqiu 476800,China)

机构地区：[1]河南省民权县中医院神经外科,河南商丘476800

出　　处：《临床医学研究与实践》2021年第2期78-80,共3页Clinical Research and Practice

摘　　要：目的比较标准外伤大骨瓣开颅术(SLTC)与传统手术治疗颅脑损伤的效果。方法选择本院2016年3月至2019年6月收治的89例颅脑损伤患者为研究对象,采用随机数字表法将其分为观察组(n=45,SLTC)和对照组(n=44,传统手术)。比较两组的治疗效果。结果观察组的术中急性脑膨出、迟发性血肿发生率低于对照组(P<0.05)。术后1、3、7 d,两组的颅内压均降低,且观察组低于对照组(P<0.05)。术后1周,两组的GCS评分均升高,NIHSS评分均降低,且观察组优于对照组(P<0.05)。观察组的预后良好率高于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论SLTC在颅脑损伤治疗中的效果显著,患者术后恢复较好,相关并发症发生率低,是一种安全可靠的手术方案,值得临床推广。Objective To compare the effect of standard large trauma craniotomy(SLTC)and traditional craniotomy in the treatment of craniocerebral injury.Methods A total of 89 patients with craniocerebral injury admitted in our hospital from March 2016 to June 2019 were selected as the research objects.The patients were divided into observation group(n=45,SLTC)and control group(n=44,traditional craniotomy)by random number table method.The treatment effect of the two groups was compared.Results The incidences of intraoperative acute encephalocele and delayed hematoma in the observation group were lower than those in the control group(P<0.05).At 1,3,and 7 d after surgery,the intracranial pressure of both groups decreased,and those in the observation group were lower than the control group(P<0.05).One week after operation,the GCS score of both groups increased,and the NIHSS score decreased,and those in the observation group were better than the control group(P<0.05).The good prognosis rate of the observation group was higher than that of the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion SLTC in the treatment of craniocerebral injury has significant effect,with good postoperative recovery of patients,low incidence of related complications,it is a safe and reliable surgical scheme,which is worthy of clinical promotion.

关 键 词：颅脑损伤 标准外伤大骨瓣开颅术 颅内压 迟发性血肿 

分 类 号：R651[医药卫生—外科学]