CAJ | 학술논문

目的:比较标准外伤大骨瓣减压术与常规颞顶瓣开颅术治疗重型颅脑损伤患者的疗效.方法:96例重型颅脑损伤患者随机分为两组,观察组48例,采用标准外伤大骨瓣减压术治疗,对照组48例,采用常规颞顶瓣开颅术治疗.比较两组患者术后近、远期疗效.结果:观察组近期预后良好率为75%,对照组为62.5%,两组比较有显著性差异(P<0.05).观察组远期预后良好率为70.8%,对照组为56.3%,两组比较有显著性差异(P<0.05).结果:标准外伤大骨瓣减压术对重型颅脑损伤患者的效果好于常规颞顶瓣开颅术.
목적:비교표준외상대골판감압술여상규섭정판개로술치료중형로뇌손상환자적료효.방법:96례중형로뇌손상환자수궤분위량조,관찰조48례,채용표준외상대골판감압술치료,대조조48례,채용상규섭정판개로술치료.비교량조환자술후근、원기료효.결과:관찰조근기예후량호솔위75%,대조조위62.5%,량조비교유현저성차이(P<0.05).관찰조원기예후량호솔위70.8%,대조조위56.3%,량조비교유현저성차이(P<0.05).결과:표준외상대골판감압술대중형로뇌손상환자적효과호우상규섭정판개로술.
Objective: To study the efficacy of standard large trauma decompression and conventional temporal-parietal lobe craniotomy on patients with Severe traumatic brain injury. Methods:96 patients with severe traumatic brain injury were randomly divided into two groups, 48 in each group. The patients in the observation group were operated through standard large trauma decompression procedure, while the patients in the control group were operated by conventional temporal-parietal lobe craniotomy. The short-time and long-term efficacies were analyzed. Results:The short-time prognosis effective rates in the observation group and the control group were 75%and 62.5%respectively, with significant differences (P<0.05). And the long-time prognosis effective rates in the observation group and the control group were 70.8% and 56.3% respectively, with significant differences (P<0.05). Conclusion: Standard large trauma decompression was better than the conventional temporal-parietal lobe craniotomy.