改良标准去大骨瓣减压术治疗重度颅脑损伤病人的临床研究  

Improving Standard Large Trauma Craniotomy to Treat the Severe Patients of Craniocerebral Injury in Clin- ical Research

作　　者：王玉胜[1] 李宗敏[1] 刘光磊[1] 陈建勇[1] 杜贵胜[1] 李冰[1] 王明阳[1] 张本超[1] 李君[1] 

机构地区：[1]山东省胶南市人民医院神经外科,266400

出　　处：《神经疾病与精神卫生》2004年第2期99-102,共4页Journal of Neuroscience and Mental Health

摘　　要：目的 探讨改良标准(USA)去大骨瓣减压术治疗重度颅脑损伤病人的临床疗效。方法 对1996年1月～2002年11月重度颅脑损伤全部手术病人,随机分为两组,一组采用改良标准去大骨瓣减压术,另一组采用标准去大骨瓣减压术治疗,对两部分病人年龄、GCS记分等因素进行统计学分析,在两样本分布相同的情况下,对其结果进行统计学分析比较。结果 采用改良标准去大骨瓣减压术恢复良好率比对照组提高了8.67％(0.025<P<0.050);死亡率降低了7.80％(0.025<P<0.050)。结论 该方法具有骨窗范围大,使挫伤的整个大脑半球充分显露,有利于清除血肿和静脉回流。使损伤的整个大脑半球、侧裂血管充分减压,有效降低颅内压,减少脑梗塞及闭塞率,减少脑组织嵌顿,有利于脑疝解除等优点。Objective Discuss to improving standard large trauma craniotomy to treat the severe patient of craniocerebral injury in clinical curative effect. Methods Dividing all the severe patients of craniocerebral injury who fall ill from January 1996 to November 2002 into two groups at random. One group adopt the improving standard large trauma craniotomy and another group adopt the standard large trauma craniotomy statistical analyse two group patients'age, score of GCS and other element under the same conditions. Results The good recover rate rise 8. 67% (0. 025< P < 0. 050) by using improving standard large trauma craniotomy which is better than the contrast group and the death rate reduce 7. 80% (0. 025< P < 0. 050). Conclusions This method has wide bone window which appear all the injury cerebral hemisphere. It is best for clearing away hematoma and venous return. Make all the injuried cerebral hemisphere and side blood vessel reduce pressure. The effective reduce the pressure of intracrani-al. Reduce the cerebral infarction and the rate of occlusion. Reduce the incarceration of brain tissue and it is best to cure cerebral hernia.

关 键 词：术式改良 标准去大骨瓣减压术 外科治疗 重度颅脑损伤 手术方法 

分 类 号：R651.15[医药卫生—外科学]