CAJ | 학술논문

目的探讨对重型颅脑损伤患者采用改良大骨瓣减压术治疗的临床疗效.方法选取佛山市顺德区大良医院神经外科2012年1月~2014年1月收治的重型颅脑损伤患者87例作为研究对象,对其临床资料进行回顾性分析.按照治疗方式划分,对照组42例采用常规大骨瓣减压术治疗,观察组45例采用改良大骨瓣减压术治疗,比较两组临床疗效.结果观察组治疗总优良率为64.4%,显著高于对照组31.0%,差异有统计学意义(P<0.05);观察组并发症发生率为15.6%,显著低于对照组33.3%,差异有统计学意义(P<0.05).结论对重型颅脑损伤患者采用改良大骨瓣减压术治疗疗效显著,可减少并发症,减轻患者痛苦,有推广价值.
목적 탐토대중형로뇌손상환자채용개량대골판감압술치료적림상료효.방법 선취불산시순덕구대량의원신경외과2012년1월~2014년1월수치적중형로뇌손상환자87례작위연구대상,대기림상자료진행회고성분석.안조치료방식화분,대조조42례채용상규대골판감압술치료,관찰조45례채용개량대골판감압술치료,비교량조림상료효.결과 관찰조치료총우량솔위64.4%,현저고우대조조31.0%,차이유통계학의의(P<0.05);관찰조병발증발생솔위15.6%,현저저우대조조33.3%,차이유통계학의의(P<0.05).결론 대중형로뇌손상환자채용개량대골판감압술치료료효현저,가감소병발증,감경환자통고,유추엄개치.
Objective To explore the clinical effect of severe traumatic brain injury with application of modified large bone flap decompression. Methods 87 patients with severe traumatic brain injury who were admitted in Neurosurgery Department of our hospital from January 2012 to January 2014 were chosen as the research object. Their clinical data was given retrospective analysis. They were divided into the control group and observation group according to the way of treatment. 42 patients in the control group were cured with application of regular large bone flap decompression while 45 patients in the observation group were treated by modified large bone flap decompression. The clinical effect of two groups was compared and analyzed.Results The total excellent rate of the observation group was 64.4%, which was remarkably higher than 31.0% of the control group. The difference between them was statistically significant (P<0.05).The incidence of complications in the observation group was 15.6%, which was lower than 33.3% of the control group. The difference had statistical significance (P<0.05).Conclusion The effect of modified large bone flap decompression for the patients with severe traumatic brain injury is remarkable. It can reduce the incidence of complications and the pain of the patients, so it is worth popularizing