中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
5期
3-4
,共2页
重型脑外伤%脑疝%标准大骨瓣减压%天幕切开术
重型腦外傷%腦疝%標準大骨瓣減壓%天幕切開術
중형뇌외상%뇌산%표준대골판감압%천막절개술
Severe traumatic brain injury%Cerebral herniation%Standard big bone flap decompression%Tentorium cerebelli hiatus incision
目的：对重型脑外伤合并脑疝患者行标准大骨瓣减压并天幕切开术的临床治疗效果进行分析。方法：选择2011年3月-2013年3月在笔者所在医院诊治的重型脑外伤合并脑疝患者84例，分为两组，予以单纯标准大骨瓣减压术治疗的患者作对照组，予以标准大骨瓣减压合并天幕切开术治疗的患者作研究组，对两组患者的临床疗效和预后GCS评分进行分析。结果：研究组脑干周围池的改善明显高于对照组，研究组病死率为16.67%，明显低于对照组的35.71%，差异均有统计学意义(P<0.05)。术后4周和6个月GCS评分，研究组明显优于对照组，差异有统计学意义(P<0.05)。结论：对重型脑外伤合并脑疝患者行标准大骨瓣减压并天幕切开术治疗，能够降低病死率，提高预后的质量，具有临床应用的价值。
目的：對重型腦外傷閤併腦疝患者行標準大骨瓣減壓併天幕切開術的臨床治療效果進行分析。方法：選擇2011年3月-2013年3月在筆者所在醫院診治的重型腦外傷閤併腦疝患者84例，分為兩組，予以單純標準大骨瓣減壓術治療的患者作對照組，予以標準大骨瓣減壓閤併天幕切開術治療的患者作研究組，對兩組患者的臨床療效和預後GCS評分進行分析。結果：研究組腦榦週圍池的改善明顯高于對照組，研究組病死率為16.67%，明顯低于對照組的35.71%，差異均有統計學意義(P<0.05)。術後4週和6箇月GCS評分，研究組明顯優于對照組，差異有統計學意義(P<0.05)。結論：對重型腦外傷閤併腦疝患者行標準大骨瓣減壓併天幕切開術治療，能夠降低病死率，提高預後的質量，具有臨床應用的價值。
목적：대중형뇌외상합병뇌산환자행표준대골판감압병천막절개술적림상치료효과진행분석。방법：선택2011년3월-2013년3월재필자소재의원진치적중형뇌외상합병뇌산환자84례，분위량조，여이단순표준대골판감압술치료적환자작대조조，여이표준대골판감압합병천막절개술치료적환자작연구조，대량조환자적림상료효화예후GCS평분진행분석。결과：연구조뇌간주위지적개선명현고우대조조，연구조병사솔위16.67%，명현저우대조조적35.71%，차이균유통계학의의(P<0.05)。술후4주화6개월GCS평분，연구조명현우우대조조，차이유통계학의의(P<0.05)。결론：대중형뇌외상합병뇌산환자행표준대골판감압병천막절개술치료，능구강저병사솔，제고예후적질량，구유림상응용적개치。
Objective:To analyze the clinical efficacy of severe traumatic brain injury with cerebral with standard big bone flap decompression and tentorium cerebelli hiatus incision operation for herniation.Method:84 cases of severe traumatic brain injury with cerebral herniation in our hospital from March 2011 to March 2013 were divided into two groups,control group with simple standard big bone flap decompression and test group with standard big bone flap decompression and tentorium cerebelli hiatus incision,the efficacy and prognosis of the two groups were compared by GCS.Result:The improvement around the brainstem pool of test group was significantly higher than control group(P<0.05).The fatality rate of test group cases was 16.67%,significantly lower than control group which was up to 35.71%(P<0.05).The scores of test group were much better than control group analyized by GCS after 4 weeks and 6 months(P<0.05). Conclusion:Severe brain injury with cerebral hernia line treated with standard big bone flap decompression and tentorium cerebelli hiatus incision,can reduce the case fatality rate,improve the quality of the outcome,has the value of clinical application.
