扩大翼点入路术治疗额颞对冲性颅脑损伤的临床效果分析  

Clinical Effect of Expanding Wing Point Approach in Frontotemporal Hedge Traumatic Brain Injury

作　　者：潘彦波 PAN Yanbo(Department of Neurosurgery,Tieling Central Hospital,Tieling 112099,China)

机构地区：[1]辽宁省铁岭市中心医院神经外科,辽宁铁岭112099

出　　处：《中国医药指南》2022年第3期94-96,100,共4页Guide of China Medicine

摘　　要：目的研究将扩大翼点入路手术应用于额颞对冲性颅脑损伤患者中的作用与效果。方法2017年10月至2019年12月,于我院接收并对其进行治疗的额颞对冲性颅脑损伤患者共74例,根据不同治疗方式划分组别,行传统入路手术的37例患者作为对照组,另行扩大翼点入路手术的37例患者作为观察组,比较两组应用的效果。结果①观察组的恢复的总良好率、病死率显著优于对照组,P<0.05;对比两组的中残率、重残率、植物的总生存率没有显著性的差异,P>0.05。②观察组的并发症的总发生率显著低于对照组,P<0.05。③观察组的世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分显著高于对照组,P<0.05。④观察组的甘露醇用量、甘露醇用时、重症监护病房(ICU)住院时间显著低于对照组,P<0.05。结论额颞对冲性颅脑损伤治疗工作中应用扩大翼点入路手术能够改善患者WHOQOL-BREF评分、恢复的总良好率、总病死率,并降低其并发症的总发生率、甘露醇用量、甘露醇用时、ICU住院时间,能够给临床中颅脑损伤方面的治疗给予更多的参照,可应用与推广。Objective To study the effects and functions of extended pterional approach in patients with frontotemporal offset craniocerebral injury.Methods From October 2017 to December 2019,a total of 74 patients with frontotemporal offset craniocerebral injury received and treated in our hospital were divided into different groups according to different treatment methods.37 patients underwent traditional approach surgery as the control group,and 37 patients underwent expanded pterional approach surgery as the observation group.The effects of the two groups were compared.Results(1)The total recovery rate and mortality of the observation group were significantly better than those of the control group,P<0.05.There was no significant difference in the median residual rate,heavy residual rate and overall survival rate between the two groups(P>0.05).(2)The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).(3)The whoQOLBREF score of the observation group was significantly higher than that of the control group(P<0.05).(4)The mannitol dosage,mannitol duration and intensive care unit(ICU)length of hospital stay in the observation group were significantly lower than those in the control group,P<0.05.Conclusion In frontotemporal craniocerebral injury hedge sex treatment application expand pterion approach surgery can improve patients World Health Organization Quality of Life Scale(WHOQOL-BREF)score,the total recovery rate,total mortality,and reduce the total incidence of complications,the dosage of mannitol,mannitol,ICU length of hospital stay,it will be able to give in the clinical treatment of craniocerebral injury for more reference,application and promotion.

关 键 词：扩大翼点入路术 治疗 额颞对冲性颅脑损伤 效果 生存质量 并发症的总发生率 

分 类 号：R651.15[医药卫生—外科学]