标准外伤大骨瓣开颅减压术治疗对冲性颅脑外伤的效果观察  

Observation on the Effect of Standard Large Trauma Craniotomy Decompression in the Treatment of Contrecoup Craniocerebral Trauma

作　　者：金晓[1] 连烨[1] JIN Xiao;LIAN Ye(2^(nd) Department of Neurosurgery,Nanyang First People's Hospital,Nanyang 473000,China)

机构地区：[1]南阳市第一人民医院神经外二科,河南南阳473000

出　　处：《临床医学工程》2022年第5期631-632,共2页Clinical Medicine & Engineering

摘　　要：目的观察标准外伤大骨瓣开颅减压术治疗对冲性颅脑外伤的临床效果。方法选择2018年1月至2020年9月我院收治的98例对冲性颅脑外伤患者,按治疗方法不同分为两组各49例。对照组采用传统骨瓣开颅术治疗,观察组采用标准外伤大骨瓣开颅减压术治疗。比较两组患者的术前、术后7 d的神经功能、颅内压及再灌注损伤指标。结果术前,两组的NIHSS评分、颅内压及血清NSE、IMA水平比较无统计学差异(P>0.05);术后7 d,观察组的NIHSS评分、颅内压及血清NSE、IMA水平均低于对照组(P<0.05)。结论与传统骨瓣开颅术相比,标准外伤大骨瓣开颅减压术治疗对冲性颅脑外伤的效果更好,可有效改善患者的神经功能,降低颅内压,减轻脑部再灌注损伤。Objective To observe the clinical effect of standard large trauma craniotomy decompression in the treatment of contrecoup craniocerebral trauma.Methods 98 patients with contrecoup craniocerebral trauma admitted to our hospital from January 2018 to September 2020 were selected and divided into two groups according to different treatement methods,with 49 cases in each group.The control group was treated with traditional craniotomy,and the observation group was treated with standard large trauma craniotomy decompression.The neurological function,intracranial pressure and reperfusion injury indicators before operation and 7 days after operation were compared between the two groups.Results Before operation,no statistical difference was found in the NIHSS score,intracranial pressure,and serum NSE and IMA levels between the two groups(P>0.05).7 days after operation,the NIHSS score,intracranial pressure,and serum NSE and IMA levels of the observation group were lower than those of the control group(P<0.05).Conclusions Compared with traditional craniotomy,standard large trauma craniotomy decompression has better effect in the treatment of contrecoup craniocerebral trauma,which can effectively improve the neurological function,and reduce the intracranial pressure and brain reperfusion injury.

关 键 词：对冲性颅脑外伤 标准外伤大骨瓣开颅减压术 传统骨瓣开颅术 

分 类 号：R651.15[医药卫生—外科学]