标准大骨瓣开颅减压术治疗重型颅脑损伤患者的临床效果  

Clinical Effects of Standard Large Bone Flap Craniotomy Decompression Surgery on Patients with Severe Traumatic Brain Injury

作　　者：姜玮 JIANG Wei(Department of Neurosurgery,Binzhou Second People's Hospital,Binzhou 256800,Shandong,China)

机构地区：[1]滨州市第二人民医院神经外科,山东滨州256800

出　　处：《系统医学》2025年第5期142-145,共4页Systems Medicine

摘　　要：目的探讨标准大骨瓣开颅减压术治疗重型颅脑损伤患者的临床效果。方法回顾性选取滨州市第二人民医院于2019年1月—2023年12月收治的100例重型颅脑损伤患者的临床资料,依据手术方法分为开颅组(50例,开颅减压术)与标准组(50例,标准大骨瓣开颅减压术),对比两组的颅脑内压、脑代谢指标、并发症发生情况以及神经功能。结果标准组的颅脑内压、神经功能障碍评分低于开颅组,脑代谢指标静脉血氧饱和度、脑氧摄取率高于开颅组,神经元特异性烯醇化酶低于开颅组,差异有统计学意义(P均<0.05)。标准组并发症发生率为2.00%(1/50),低于开颅组的16.00%(8/50),差异有统计学意义(χ^(2)=4.395,P<0.05)。结论对于重型颅脑损伤患者而言,实施标准大骨瓣开颅减压术的效果好,安全性高。Objective To investigate the clinical effect of standard large craniotomy decompression in the treatment of severe craniocerebral injury.Methods The clinical data of 100 patients with severe craniocerebral injury admitted to Binzhou Second People's Hospital from January 2019 to December 2023 were retrospectively selected and divided into craniotomy group(50 cases,craniotomy decompression)and standard group(50 cases,standard large bone flap decompression)according to surgical methods.The intracranial pressure,cerebral metabolic indexes,complications and neurological function were compared between the two groups.Results Intracranial pressure and neurological dysfunction scores in standard group were lower than those in craniotomy group,cerebral metabolic index venous oxygen saturation and cerebral oxygen uptake rate were higher than those in craniotomy group,and neuron-specific enolase were lower than those in craniotomy group,the differences were statistically significant(all P<0.05).The incidence of complications in the standard group was 2.00%(1/50),lower than 16.00%(8/50)in the craniotomy group,and the difference was statistically significant(χ^(2)=4.395,P<0.05).Conclusion For patients with severe craniocerebral injury,standard craniotomy with large bone flap is effective and safe.

关 键 词：标准大骨瓣开颅减压手术 重型颅脑损伤 脑代谢指标 

分 类 号：R651[医药卫生—外科学]