重型颅脑外伤侧裂区损伤疾病应用标准大骨瓣开颅血肿清除术治疗的效果  

Effect of Standard Large Bone Flap Craniotomy for Hematoma Removal in Treatment of Severe Craniocerebral Injury with Lateral Fissure Injury

作　　者：李新平 LI Xin-ping(Beiliu People's Hospital,Beiliu,Guangxi 537400)

机构地区：[1]广西北流市人民医院,广西北流537400

出　　处：《智慧健康》2021年第1期73-74,共2页Smart Healthcare

摘　　要：目的研究重型颅脑外伤侧裂区损伤疾病(文中以下简称"重型颅脑损伤")应用标准大骨瓣开颅血肿清除术治疗的效果。方法研究时间2017年10月至2019年10月,纳入52例重型颅脑损伤患者,标准大骨瓣开颅血肿清除术的26例患者为研究组,常规大骨瓣开颅血肿清除术的26例患者为对照组,术后随访患者的疗效、并发症及生存情况。结果两组术后研究组的生存情况和预后情况都比对照组更具优势(P<0.05);随访期间两组发生并发症的概率相比,研究组偏低(P<0.05)。结论标准大骨瓣开颅血肿清除术在清理血肿和坏死组织方面有更确切的效果,可以获得比较好的症状改善结局,并发症情况少,生存质量相对更高。Objective To study the therapeutic effect of standard large bone flap craniotomy for the treatment of traumatic diseases in lateral fissure region of severe craniocerebral injury (hereinafter referred to as "severe craniocerebral injury").Methods The study lasted from October 2017 to October 2019.Fifty-two patients with severe craniocerebral injury were included in the study.Twenty-six patients with standard large bone flap craniotomy hematoma removal were taken as the study group and 26 patients with conventional large bone flap craniotomy hematoma removal were taken as the control group.The curative effect,complications and survival conditions of the patients were followed up after the operation.Results The survival and prognosis of the study group were better than those of the control group (P<0.05).During the follow-up period,the incidence of complications in the study group was lower than that in the study group (P<0.05).Conclusion Standard large bone flap craniotomy hematoma removal has more exact effect in clearing hematoma and necrotic tissue,and can obtain better symptoms and improve outcomes,with fewer complications and relatively higher quality of life.

关 键 词：重型颅脑外伤侧裂区损伤疾病 标准大骨瓣开颅血肿清除术 治疗效果 并发症 

分 类 号：R651.15[医药卫生—外科学]