中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2011年
11期
1154-1156
,共3页
王正锐%李平%高永清%李兴泽
王正銳%李平%高永清%李興澤
왕정예%리평%고영청%리흥택
颅脑损伤%神经外科手术%脑膨出%迟发颅内血肿
顱腦損傷%神經外科手術%腦膨齣%遲髮顱內血腫
로뇌손상%신경외과수술%뇌팽출%지발로내혈종
Craniocerebral trauma%Neurosurgical procedures%Encephalocele%Delayed hematoma
目的 探讨逐步控制性减压手术方式治疗重型、特重型颅脑创伤的疗效.方法 本组285例重型、特重型颅脑创伤需行减压手术的患者中,A组160例采用逐步控制性减压手术,B组125例采用常规大骨瓣减压手术.结果 两组患者术中急性脑膨出、迟发颅内血肿、术后骨窗脑组织嵌顿、脑移位、脑干变形扭曲、大面积脑梗死的发生率以及GOS标准预后评估差异均有统计学意义(P＜0.05).结论 采用逐步控制性减压手术能有效减少重型、特重型颅脑创伤患者术中及术后并发症,降低伤残率及死亡率,是一种有效的手术方法.
目的 探討逐步控製性減壓手術方式治療重型、特重型顱腦創傷的療效.方法 本組285例重型、特重型顱腦創傷需行減壓手術的患者中,A組160例採用逐步控製性減壓手術,B組125例採用常規大骨瓣減壓手術.結果 兩組患者術中急性腦膨齣、遲髮顱內血腫、術後骨窗腦組織嵌頓、腦移位、腦榦變形扭麯、大麵積腦梗死的髮生率以及GOS標準預後評估差異均有統計學意義(P＜0.05).結論 採用逐步控製性減壓手術能有效減少重型、特重型顱腦創傷患者術中及術後併髮癥,降低傷殘率及死亡率,是一種有效的手術方法.
목적 탐토축보공제성감압수술방식치료중형、특중형로뇌창상적료효.방법 본조285례중형、특중형로뇌창상수행감압수술적환자중,A조160례채용축보공제성감압수술,B조125례채용상규대골판감압수술.결과 량조환자술중급성뇌팽출、지발로내혈종、술후골창뇌조직감돈、뇌이위、뇌간변형뉴곡、대면적뇌경사적발생솔이급GOS표준예후평고차이균유통계학의의(P＜0.05).결론 채용축보공제성감압수술능유효감소중형、특중형로뇌창상환자술중급술후병발증,강저상잔솔급사망솔,시일충유효적수술방법.
Objective To investigate the effects of gradually controlled decompression and standard large craniotomy for treatment of severe craniocerebral injury.Method Among 285 severe craniocerebral injury cases,160( A group) underwent gradually controlled decompression and 125 (B group) underwent decompression of routine standard large craniotomy.Results The incidences of acute intraoperative encephalocele,delayed intracranial hematoma,brain tissue embedded,brain shift,brain stem distorted,large - area cerebral infarction and GOS score of two groups were significantly different ( P ＜ 0.05 ).Conclusions The gradually controlled decompression could decrease intraoperative and postoperative complications,disability rate and mortality of severe craniocerebral injury patients.
