当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
5期
6-7
,共2页
重型颅脑损伤%改良去骨瓣减压%治疗
重型顱腦損傷%改良去骨瓣減壓%治療
중형로뇌손상%개량거골판감압%치료
Severe craniocerebral injury%Improved bone disc decompression%Treatment
目的:探讨改良去骨瓣开颅减压手术治疗重型颅脑损伤患者的临床效果。方法选择收治的252例重型颅脑损伤患者,根据手术方式的不同随机分为观察组和对照组各126例,观察组采用改良去骨瓣开颅术治疗,对照组采用标准外伤大骨瓣减压术,比较两组的临床治疗效果。结果所有患者经6个月随访,按GOS评分观察组总有效率为61.90%(78/126),对照组总有效率为40.48%(51/126),观察组临床治疗效果显著高于对照组,两组比较差异具有统计学意义(P<0.05);观察组的并发症发生率为7.94%(10/126),对照组的并发症发生率为27.78%(35/126),观察组并发症发生率显著低于对照组,两组比较差异具有统计学意义(P<0.05)。结论改良去骨瓣开颅术是治疗重型颅脑损伤疗效显著,术后并发症少,值得临床推广应用。
目的:探討改良去骨瓣開顱減壓手術治療重型顱腦損傷患者的臨床效果。方法選擇收治的252例重型顱腦損傷患者,根據手術方式的不同隨機分為觀察組和對照組各126例,觀察組採用改良去骨瓣開顱術治療,對照組採用標準外傷大骨瓣減壓術,比較兩組的臨床治療效果。結果所有患者經6箇月隨訪,按GOS評分觀察組總有效率為61.90%(78/126),對照組總有效率為40.48%(51/126),觀察組臨床治療效果顯著高于對照組,兩組比較差異具有統計學意義(P<0.05);觀察組的併髮癥髮生率為7.94%(10/126),對照組的併髮癥髮生率為27.78%(35/126),觀察組併髮癥髮生率顯著低于對照組,兩組比較差異具有統計學意義(P<0.05)。結論改良去骨瓣開顱術是治療重型顱腦損傷療效顯著,術後併髮癥少,值得臨床推廣應用。
목적:탐토개량거골판개로감압수술치료중형로뇌손상환자적림상효과。방법선택수치적252례중형로뇌손상환자,근거수술방식적불동수궤분위관찰조화대조조각126례,관찰조채용개량거골판개로술치료,대조조채용표준외상대골판감압술,비교량조적림상치료효과。결과소유환자경6개월수방,안GOS평분관찰조총유효솔위61.90%(78/126),대조조총유효솔위40.48%(51/126),관찰조림상치료효과현저고우대조조,량조비교차이구유통계학의의(P<0.05);관찰조적병발증발생솔위7.94%(10/126),대조조적병발증발생솔위27.78%(35/126),관찰조병발증발생솔현저저우대조조,량조비교차이구유통계학의의(P<0.05)。결론개량거골판개로술시치료중형로뇌손상료효현저,술후병발증소,치득림상추엄응용。
Objective To investigate the clinical efficacy of modified operation craniotomy decompression in the treatment of patients with severe craniocerebral injury. Methods Choose the hospital 252 cases of severe craniocerebral injury patients, according to the different methods of surgery were randomly divided into observation group and control group 126 cases, observation group modified to bone flap craniotomy treatment, control group adopts standard trauma big bone flap decompression, comparing two groups of clinical therapeutic effect.Results All patients were followed up after six months, according to GOS score observation group, the total effective rate was 61.90%(78/126), the control group, the total effective rate was 40.48%(51/126)in the observation group was significantly due to the clinical treatment control group, two group difference was statistically significant (P<0.05); observation group complication rate was 7.94%(10/126), the control group complication rate was 27.78%(35/126)in the observation group complication. The incidence was significantly lower than the control group, the difference was significant (P<0.05). Conclusion Improvements to craniotomy is the treatment of severe head injury a significant effect, fewer postoperative complications, worthy of clinical application.