CAJ | 학술논문

目的：探讨对重型脑外伤合并脑疝患者经标准大骨瓣减压并天幕切开术治疗的临床疗效。方法收集76例符合研究的患者作为研究对象，随机分为研究组与对照组，均为38例。对照组给予标准大骨瓣减压方法进行治疗，研究组在对照组治疗的基础上，联合天幕切开术进行治疗，比较两组患者临床疗效。结果研究组的重残或长期昏迷率、死亡率均低于对照组，差异有显著性(P<0.05)；术后4周与6个月后，观察组的GCS评分均明显优于对照组，差异有显著性(P<0.05)。结论对重型脑外伤合并脑疝患者采取该方法进行治疗，能有效改善患者的脑干周围池，有利于提高患者治疗的生存率。
목적：탐토대중형뇌외상합병뇌산환자경표준대골판감압병천막절개술치료적림상료효。방법수집76례부합연구적환자작위연구대상，수궤분위연구조여대조조，균위38례。대조조급여표준대골판감압방법진행치료，연구조재대조조치료적기출상，연합천막절개술진행치료，비교량조환자림상료효。결과연구조적중잔혹장기혼미솔、사망솔균저우대조조，차이유현저성(P<0.05)；술후4주여6개월후，관찰조적GCS평분균명현우우대조조，차이유현저성(P<0.05)。결론대중형뇌외상합병뇌산환자채취해방법진행치료，능유효개선환자적뇌간주위지，유리우제고환자치료적생존솔。
Objective To investigate the clinical effect of treat severe brain trauma combine hernia with standard hemi-craniectomy and canopy incision surgery. Methods Selected 76 cases of severe brain trauma combine hernia patients as research subjects, which were randomly divided into study group and control group, 38 cases in each group, the con-trol group received standard hemicraniectomy treatment,study group received standard hemicraniectomy and atrium in-cision treatment. The clinical effects were compared for the two groups. Results The rates of severe disability or long-term coma, mortality in the study group were lower than the control group, the differences was statistically significant(P<0.05). The scores of GCS of the study group were better than the control group after operation for 4 weeks and 6 months (P<0.05). Conclusion Patients with severe brain trauma associated with hernia use standard hemicraniectomy and canopy incision treatment can effectively improve the patient's brainstem around the pool,and help to improve the survival rate of patients who received treatment.