单侧开颅减压术治疗额颞脑挫裂伤的临床效果  

Clinical Effect of Unilateral Craniotomy Decompression in Treatment of Frontotemporal Contusion and Laceration

作　　者：李武雄 赵旭辉 任光辉 LI Wuxiong;ZHAO Xuhui;REN Guanghui(Department of Neurosurgery,Luoyang Dongfang People’s Hospital,Luoyang 471000,China)

机构地区：[1]洛阳市东方人民医院神经外科,河南洛阳471000

出　　处：《河南医学研究》2023年第8期1456-1459,共4页Henan Medical Research

摘　　要：目的 探究单侧开颅减压术治疗额颞脑挫裂伤的临床效果。方法 回顾性分析洛阳市东方人民医院2017年1月至2022年7月收治的142例额颞脑挫裂伤患者的临床资料,依据手术方式分为A组(70例)和B组(72例)。A组患者接受单侧开颅减压术治疗,B组患者接受双侧开颅减压术。比较两组患者治疗前后颅内压、美国国立卫生研究院卒中量表(NIHSS)评分,观察两组患者并发症发生情况。结果 A组患者疗效优于B组,差异有统计学意义(P<0.05)。治疗前,两组患者颅内压、NIHSS评分比较,差异无统计学意义(P>0.05);治疗后3个月,两组患者颅内压、NIHSS评分均降低,且A组低于B组(P<0.05)。A组患者并发症发生率高于B组,但差异无统计学意义(P=0.162)。结论 单侧开颅减压术治疗额颞脑挫裂伤效果确切,患者预后较好,颅内压、病情及神经功能改善。Objective To investigate the clinical effect of unilateral craniotomy decompression in the treatment of frontotemporal contusion and laceration.Methods The clinical data of 142 patients with frontotemporal brain contusion and laceration admitted to Luoyang Dongfang People’s Hospital from January 2017 to July 2022 were analyzed retrospectively.They were divided into group A(70 cases)and group B(72 cases)based on different surgical methods adopted.Patients in group A underwent unilateral craniotomy for decompression,while patients in group B underwent bilateral craniotomy for decompression.The intracranial pressure and National Institutes of Health stroke scale(NIHSS)score of two groups of patients before and after treatment,and observe the incidence of complications in the two groups of patients were compared.Results The efficacy of group A patients was better than that of group B,with a statistically difference(P<0.05).Before treatment,there was no statistically difference in intracranial pressure and NIHSS score between the two groups of patients(P>0.05).After 3 months of treatment,intracranial pressure and NIHSS scores of both groups of patients decreased,and group A was lower than group B(P<0.05).The incidence of complications in group A was higher than that in group B,but the difference was not statistically significant(P=0.162).Conclusion Unilateral decompressive craniotomy for frontotemporal cerebral contusion and laceration has an ideal treatment effect.The prognosis of the patient is better,the intracranial pressure,disease condition and neurological function are significantly improved.

关 键 词：额颞脑挫裂伤 单侧开颅减压术 疗效 

分 类 号：R615[医药卫生—外科学]