神经损伤与功能重建
神經損傷與功能重建
신경손상여공능중건
NEURAL INJURY AND FUNCTIONAL RECONSTRUCTION
2014年
6期
498-500
,共3页
标准大骨瓣开颅减压术%经典骨瓣开颅术%颅脑损伤%减压术
標準大骨瓣開顱減壓術%經典骨瓣開顱術%顱腦損傷%減壓術
표준대골판개로감압술%경전골판개로술%로뇌손상%감압술
standard large trauma craniotomy%traditional craniotomy%craniocerebral injury%decompression
目的：观察标准去大骨瓣开颅减压术和经典骨瓣开颅术治疗重型颅脑损伤的疗效。方法：选择重型颅脑损伤患者120例（标准术组）接受标准外伤去大骨瓣开颅减压治疗和重型颅脑损伤患者94例（对照组）接受经典骨瓣开颅术，随访半年，评估Glasgow预后评分（GOS），比较2组预后及术后并发症。结果：术后半年，对照组良好13例，中残15例，重残37例，植物生存17例，死亡12例，预后较好28例（29.79%）；标准术组良好31例，中残24例，重残42例，植物生存15例，死亡8例，预后较好55例（45.83%），2组预后较好情况比较差异有统计学意义（x=5.72，=0.02）。标准术组术后急性脑膨出、切口脑脊液漏、术后颅内血肿发生例数显著少于对照组（<0.01）。结论：重型颅脑损伤患者接受标准大骨瓣开颅手术临床疗效较经典骨瓣开颅减压术效果好。
目的：觀察標準去大骨瓣開顱減壓術和經典骨瓣開顱術治療重型顱腦損傷的療效。方法：選擇重型顱腦損傷患者120例（標準術組）接受標準外傷去大骨瓣開顱減壓治療和重型顱腦損傷患者94例（對照組）接受經典骨瓣開顱術，隨訪半年，評估Glasgow預後評分（GOS），比較2組預後及術後併髮癥。結果：術後半年，對照組良好13例，中殘15例，重殘37例，植物生存17例，死亡12例，預後較好28例（29.79%）；標準術組良好31例，中殘24例，重殘42例，植物生存15例，死亡8例，預後較好55例（45.83%），2組預後較好情況比較差異有統計學意義（x=5.72，=0.02）。標準術組術後急性腦膨齣、切口腦脊液漏、術後顱內血腫髮生例數顯著少于對照組（<0.01）。結論：重型顱腦損傷患者接受標準大骨瓣開顱手術臨床療效較經典骨瓣開顱減壓術效果好。
목적：관찰표준거대골판개로감압술화경전골판개로술치료중형로뇌손상적료효。방법：선택중형로뇌손상환자120례（표준술조）접수표준외상거대골판개로감압치료화중형로뇌손상환자94례（대조조）접수경전골판개로술，수방반년，평고Glasgow예후평분（GOS），비교2조예후급술후병발증。결과：술후반년，대조조량호13례，중잔15례，중잔37례，식물생존17례，사망12례，예후교호28례（29.79%）；표준술조량호31례，중잔24례，중잔42례，식물생존15례，사망8례，예후교호55례（45.83%），2조예후교호정황비교차이유통계학의의（x=5.72，=0.02）。표준술조술후급성뇌팽출、절구뇌척액루、술후로내혈종발생례수현저소우대조조（<0.01）。결론：중형로뇌손상환자접수표준대골판개로수술림상료효교경전골판개로감압술효과호。
Objective: To observe the effects of standard large trauma craniotomy and traditional craniotomy on severe traumatic brain injury (STBI). Methods:One hundred and twenty STBI patients (standard operation group) received standard large trauma craniotomy, and 94 STBI patients (control group) were treated with traditional craniotomy, with follow-up for 6 months. The Glasgow Outcome Scale(GOS), prognosis and postoperative compli-cations were evaluated. Results:After 6 months, in the control group, 13 patients had good recovery, 15 patients were moderate disability, 37 patients showed severe disability, 17 patients were vegetative state and 12 patients were dead. In total, 28 cases had good prognosis (29.79%). In the standard operation group, 31 patients showed good recovery, 24 patients were moderate disability, 42 patients presented severe disability, 15 patients showed vegetative state and 8 patients were dead. In total, 55 cases were found to be good prognosis (45.83%). There was statistical differences between the 2 groups in the better prognosis ( x=5.72, =0.02). The incidence rates of acute encephalocele, cerebral-spinal fluid leak and intracranial hematoma in the standard operation group were lower than those in the control group ( <0.05). Conclusion:The therapeutic efficacy of standard large trauma craniotomy on STBI patients is superior to the effects of traditional craniotomy.
