CAJ | 학술논문

目的：探讨双侧颞肌部分切除术联合标准大骨瓣减压治疗重型颅脑损伤的临床效果。方法随机选取本院2013年6月~2015年4月接受治疗的30例重型颅脑外伤患者作为观察组，给予双侧颞肌部分切除术联合标准大骨瓣减压治疗。选取同期在本院治疗的30例重型颅脑外伤患者作为对照组，给予标准大骨瓣减压治疗，比较两组的效果。结果观察组治疗后的总有效率为70.0%.显著高于对照组的43.3%，差异有统计学意义(P<0.05)。观察组的术后颅内压、颞肌厚度显著低于对照组，差异有统计学意义(P<0.05)。两组的并发症发生率比较，差异无统计学意义(P跃0.05)。结论双侧颞肌部分切除术联合标准大骨瓣减压治疗重型颅脑损伤效果显著。
목적：탐토쌍측섭기부분절제술연합표준대골판감압치료중형로뇌손상적림상효과。방법수궤선취본원2013년6월~2015년4월접수치료적30례중형로뇌외상환자작위관찰조，급여쌍측섭기부분절제술연합표준대골판감압치료。선취동기재본원치료적30례중형로뇌외상환자작위대조조，급여표준대골판감압치료，비교량조적효과。결과관찰조치료후적총유효솔위70.0%.현저고우대조조적43.3%，차이유통계학의의(P<0.05)。관찰조적술후로내압、섭기후도현저저우대조조，차이유통계학의의(P<0.05)。량조적병발증발생솔비교，차이무통계학의의(P약0.05)。결론쌍측섭기부분절제술연합표준대골판감압치료중형로뇌손상효과현저。
Objective To explore the clinical effect of bilateral temporal muscle resection combined with standard large trauma craniotomy in the treatment of severe craniocerebral injury. Methods 30 cases with severe craniocerebral injury from June 2013 to April 2015 in our hospital were randomly selected as the observation group and patients were given bilateral temporal muscle resection combined with standard large trauma craniotomy.30 cases with severe craniocerebral injury in our hospital at the same term were selected as the control group and patients were given standard large trauma craniotomy.The effect in two groups was compared. Results The total effective in the observation group was 70.0%, which was higher than 43.3% in the control group,with significant difference (P<0.05).The intracranial pressure and temporal muscle thickness after operation in the observation group was lower than that in the control group,with signifi-cant difference(P<0.05).The incidence of complication between two groups had no significant difference (P>0.05). Con-clusion Bilateral temporal muscle resection combined with standard large trauma craniotomy in the treatment of severe craniocerebral injury is effective.