双侧去骨瓣减压术治疗重症对冲性颅脑损伤的有效性及安全性研究  

Effectiveness and Safety Study of Bilateral Decompressive Craniectomy in Treatment of Severe Contrecoup Craniocerebral Injury

作　　者：王艳和 Wang Yan-he(Department of Neurosurgery,Shidao People's Hospital of Rongcheng City in Shandong Province,Rongcheng 264309,Shandong Province,China)

机构地区：[1]山东省荣成市石岛人民医院神经外科,山东荣成264309

出　　处：《中国社区医师》2022年第1期57-59,共3页Chinese Community Doctors

摘　　要：目的:研究双侧去骨瓣减压术治疗重症对冲性颅脑损伤的有效性和安全性。方法:2019年1月-2020年6月收治重症对冲性颅脑损伤患者90例,按入院顺序先后分为两组,各45例。对照组采取单侧大骨瓣减压术治疗;观察组采取双侧去骨瓣减压术治疗。比较两组治疗效果。结果:观察组治疗总有效率高于对照组,且并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:运用双侧去骨瓣减压术治疗重症对冲性颅脑损伤,能够及时改善患者的颅内压,疗效显著,且并发症发生率低,安全性高。Objective:To study the effectiveness and safety of bilateral decompressive craniectomy in the treatment of severe contrecoup craniocerebral injury.Methods:From January 2019 to June 2020,90 patients with severe contrecoup craniocerebral injury were selected,they were divided into the two groups according to the order of admission,with 45 cases in each group.The control group was treated with unilateral large bone flap decompression.The observation group was treated with bilateral decompressive craniectomy.The treatment effects of the two groups were compared.Results:The total effective rate of treatment in the observation group was higher than that of the control group,and the incidence of complications was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of bilateral decompressive craniectomy in treatment of severe contrecoup craniocerebral injury can improve the patient's intracranial pressure in time,with significant curative effect,low complication rate and high safety.

关 键 词：双侧去骨瓣减压术 重症对冲性颅脑损伤 有效性 安全性 并发症 

分 类 号：R651.15[医药卫生—外科学]