中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
10期
44-46
,共3页
双侧额叶脑挫裂伤%单侧开颅术%双侧开颅术%颅内血肿%疗效
雙側額葉腦挫裂傷%單側開顱術%雙側開顱術%顱內血腫%療效
쌍측액협뇌좌렬상%단측개로술%쌍측개로술%로내혈종%료효
Bilateral frontal brain contusion%Unilateral craniotomy%Bilateral craniotomy%Intracranial hematoma%Effect
目的 探讨不同手术入路治疗双侧额叶脑挫裂伤伴颅内血肿的临床疗效.方法 选取沈丘县人民医院在2009年3月至2013年3月收治的双侧额叶脑挫裂伤伴颅内血肿患者126例,按照手术入路方式不同分为观察组和对照组,每组63例.观察组行单侧开颅术,对照组行双侧开颅术.比较两组患者的手术疗效及预后情况.结果 观察组手术时间、住院时间、术中出血量等指标均显著低于对照组(t=7.3281、32.1863、49.2083,P均＜0.01);嗅觉神经损伤及精神障碍发生率均显著低于对照组,两组比较差异有统计学意义(x2=14.3619、14.3619,P均＜0.01);出院6个月后根据GOS评分表评定预后良好率,观察组明显多于对照组,两组比较差异有统计学意义(x2 =6.9384,P＜0.01).结论 双侧额叶脑挫裂伤伴颅内血肿患者行单侧开颅术可以有效缩短手术时间,减少术中出血量,安全系数高,颅内血肿清除率高,并能有效减轻颅内高压,改善患者预后,值得在临床推广应用.
目的 探討不同手術入路治療雙側額葉腦挫裂傷伴顱內血腫的臨床療效.方法 選取瀋丘縣人民醫院在2009年3月至2013年3月收治的雙側額葉腦挫裂傷伴顱內血腫患者126例,按照手術入路方式不同分為觀察組和對照組,每組63例.觀察組行單側開顱術,對照組行雙側開顱術.比較兩組患者的手術療效及預後情況.結果 觀察組手術時間、住院時間、術中齣血量等指標均顯著低于對照組(t=7.3281、32.1863、49.2083,P均＜0.01);嗅覺神經損傷及精神障礙髮生率均顯著低于對照組,兩組比較差異有統計學意義(x2=14.3619、14.3619,P均＜0.01);齣院6箇月後根據GOS評分錶評定預後良好率,觀察組明顯多于對照組,兩組比較差異有統計學意義(x2 =6.9384,P＜0.01).結論 雙側額葉腦挫裂傷伴顱內血腫患者行單側開顱術可以有效縮短手術時間,減少術中齣血量,安全繫數高,顱內血腫清除率高,併能有效減輕顱內高壓,改善患者預後,值得在臨床推廣應用.
목적 탐토불동수술입로치료쌍측액협뇌좌렬상반로내혈종적림상료효.방법 선취침구현인민의원재2009년3월지2013년3월수치적쌍측액협뇌좌렬상반로내혈종환자126례,안조수술입로방식불동분위관찰조화대조조,매조63례.관찰조행단측개로술,대조조행쌍측개로술.비교량조환자적수술료효급예후정황.결과 관찰조수술시간、주원시간、술중출혈량등지표균현저저우대조조(t=7.3281、32.1863、49.2083,P균＜0.01);후각신경손상급정신장애발생솔균현저저우대조조,량조비교차이유통계학의의(x2=14.3619、14.3619,P균＜0.01);출원6개월후근거GOS평분표평정예후량호솔,관찰조명현다우대조조,량조비교차이유통계학의의(x2 =6.9384,P＜0.01).결론 쌍측액협뇌좌렬상반로내혈종환자행단측개로술가이유효축단수술시간,감소술중출혈량,안전계수고,로내혈종청제솔고,병능유효감경로내고압,개선환자예후,치득재림상추엄응용.
Objective To investigate the clinical value of different kinds of operation approach on bilateral frontal brain contusion and laceration with intracranial hematoma.Methods From March 2009 to March 2013,126 patients of bilateral frontal brain contusion and laceration with intracranial hematoma who got medical treatment in the People' s Hospital of Shenqiu,were divided randomly into observation group and control group,each group had 63 cases.Patients in observation group were cured with unilateral craniotomy,while patients in control group were cured with bilateral craniotomy.Then the curative effect indexes and prognosis of these two groups were compared.Results After treatment,the indexes of operation time,hospitalization time and blood loss in observation group were significantly lower than those in control group(t =7.3281,32.1863,49.2083,each P ＜ 0.01),simultaneously,the rate of olfactory never disorder,mental disorder in observation group were markedly less than control group (x2 =14.3619,14.3619,each P ＜ 0.01).According to Glasgow outcome scale (GOS) score of six-month observation after hospitalization,the occurrence rate of good recovery in observation group were markedly higher than that in control group (x2 =6.9384,P ＜ 0.01).Conclusions Unilateral craniotomy is an effective method to treat patients with bilateral frontal brain contusion with intracranial hemotoma.It can reduce the operative time and decrease bleeding volume,has high safety coefficient and intracranial hematoma clearance rate,to reduce intracranial pressure effectively,improve the prognosis,and is worthy of clinical application.
