标准外伤大骨瓣开颅术与常规骨瓣开颅术治疗重型颅脑损伤的临床对比研究  

Clinical Comparison Study of Standard Trauma Large Bone Flap Crani⁃otomy and Conventional Bone Flap Craniotomy for Heavy Craniocerebral Injury

作　　者：龚伟 GONG Wei(Department of Neurosurgery,Zhangjiagang Sixth People's Hospital,Zhangjiagang,Jiangsu Province,215600 China)

机构地区：[1]张家港市第六人民医院神经外科,江苏张家港215600

出　　处：《中外医疗》2022年第33期52-55,60,共5页China & Foreign Medical Treatment

摘　　要：目的探究重型颅脑损伤患者接受标准外伤大骨瓣开颅术与常规骨瓣开颅术治疗的临床效果。方法依据数字表法对2017年1月-2021年6月期间张家港市第六人民医院神经外科接收的80例重型颅脑损伤患者随机分组,40例实施常规骨瓣开颅术治疗的患者纳入对照组,40例实施标准外伤大骨瓣开颅术的患者纳入观察组,比较两组患者NIHSS评分、手术前后颅内压情况,记录比较两组患者疗效、远期疗效和术后相关并发症。结果观察组术后NIHSS评分、颅内压优于对照组,差异有统计学意义(P<0.05);观察组总有效率(95.00%)高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率仅为2.50%,低于对照组,差异有统计学意义(χ^(2)=4.507,P<0.05);观察组远期疗效优于对照组,差异有统计学意义(Z=2.191,P<0.05)。结论重型颅脑损伤患者采取标准外伤大骨瓣开颅术治疗,疗效优于常规骨瓣开颅术,患者神经功能恢复效果更优,颅内压控制效果显著,保障患者的术后安全性。Objective To investigate the clinical effects of heavy craniocerebral injury patients treated with standard trauma large bone flap craniotomy and conventional bone flap craniotomy.Methods According to the digital table method,80 patients with severe craniocerebral injury received by the Neurosurgery Department of Zhangjiagang Sixth People's Hospital from January 2017 to June 2021 were randomly divided into two groups,40 patients with conventional craniotomy were included in the control group,and 40 patients with standard craniotomy were included in the observation group.The NIHSS score,intracranial pressure before and after operation of the two groups were compared,and the curative effect,long-term curative effect and postoperative complications of the two groups were recorded and compared.Results The NIHSS score and intracranial pressure in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05);the total effective rate(95.00%)of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was only 2.50%,lower than that in the control group,and the difference was statistically significant(χ^(2)=4.507,P<0.05);the long-term efficacy of the observation group was better than that of the control group,and the difference was statistically significant(Z=2.191,P<0.05).Conclusion Patients with severe craniocerebral injury treated with standard trauma large bone flap craniotomy have better efficacy than conventional bone flap craniotomy,and patients have better neurological function recovery effect and significant intracranial pressure control effect,which guarantees the postoperative safety of patients.

关 键 词：重型颅脑损伤 标准外伤大骨瓣 常规骨瓣开颅术 

分 类 号：R4[医药卫生—临床医学]