中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
28期
37-39
,共3页
庄炳兴%黄柳军%张准仪%师少春
莊炳興%黃柳軍%張準儀%師少春
장병흥%황류군%장준의%사소춘
重型闭合性颅脑损伤%双侧平衡去骨瓣减压术%疗效安全性
重型閉閤性顱腦損傷%雙側平衡去骨瓣減壓術%療效安全性
중형폐합성로뇌손상%쌍측평형거골판감압술%료효안전성
Severe closed head injury%Bilateral balance decompressive craniectomy%The efficacy and safety
目的：对重型闭合性颅脑损伤行双侧平衡去骨瓣减压术的疗效和安全性进行探讨。方法选取2011年1月-2013年12月在该院治疗的80例重型闭合性颅脑损伤患者,随机分为两组,每组40例。对照组采用单侧标准外伤大骨瓣减压术进行治疗,观察组采用双侧平衡去骨瓣减压术进行治疗,对两组患者的疗效及安全性进行对比。结果治疗前,两组患者的颅内压差异无统计学意义(P>0.05)》治疗1﹑3 d后,观察组患者的颅内压分别是(31.66±6.83)mmHg﹑(27.41±4.84)mmHg,对照组分别是(21.41±5.19)mmHg﹑(19.35±3.52)mmHg,差异有统计学意义(P<0.05)。观察组并发症发生率为10%明显低于对照组的27.5%,差异有统计学意义(P<0.05)。结论双侧平衡去骨瓣减压术治疗重型闭合性颅脑损伤疗效确切,有效降低了患者的术后并发症发生率,具有良好的安全性。
目的：對重型閉閤性顱腦損傷行雙側平衡去骨瓣減壓術的療效和安全性進行探討。方法選取2011年1月-2013年12月在該院治療的80例重型閉閤性顱腦損傷患者,隨機分為兩組,每組40例。對照組採用單側標準外傷大骨瓣減壓術進行治療,觀察組採用雙側平衡去骨瓣減壓術進行治療,對兩組患者的療效及安全性進行對比。結果治療前,兩組患者的顱內壓差異無統計學意義(P>0.05)》治療1﹑3 d後,觀察組患者的顱內壓分彆是(31.66±6.83)mmHg﹑(27.41±4.84)mmHg,對照組分彆是(21.41±5.19)mmHg﹑(19.35±3.52)mmHg,差異有統計學意義(P<0.05)。觀察組併髮癥髮生率為10%明顯低于對照組的27.5%,差異有統計學意義(P<0.05)。結論雙側平衡去骨瓣減壓術治療重型閉閤性顱腦損傷療效確切,有效降低瞭患者的術後併髮癥髮生率,具有良好的安全性。
목적：대중형폐합성로뇌손상행쌍측평형거골판감압술적료효화안전성진행탐토。방법선취2011년1월-2013년12월재해원치료적80례중형폐합성로뇌손상환자,수궤분위량조,매조40례。대조조채용단측표준외상대골판감압술진행치료,관찰조채용쌍측평형거골판감압술진행치료,대량조환자적료효급안전성진행대비。결과치료전,량조환자적로내압차이무통계학의의(P>0.05)》치료1﹑3 d후,관찰조환자적로내압분별시(31.66±6.83)mmHg﹑(27.41±4.84)mmHg,대조조분별시(21.41±5.19)mmHg﹑(19.35±3.52)mmHg,차이유통계학의의(P<0.05)。관찰조병발증발생솔위10%명현저우대조조적27.5%,차이유통계학의의(P<0.05)。결론쌍측평형거골판감압술치료중형폐합성로뇌손상료효학절,유효강저료환자적술후병발증발생솔,구유량호적안전성。
Objective To investigate the efficacy and safety of bilateral balance decompressive craniectomy in the treatment of se-vere closed head injury. Methods 80 cases of patients with severe closed head injury treated in our hospital from January 2011 to December 2013 were randomly divided into two groups, 40 cases in each group. The control group was treated with unilateral de-compression standard large trauma craniectomy, the observation group was treated with bilateral balance decompressive craniecto-my. And the curative effect and safety were compared between the two groups. Results Before treatment, the difference in in-tracranial pressure between the two groups was not statistically significant (P>0.05);1 d, 3 d after treatment, the intracranial pres-sure of the observation group was (31.66±6.83)mmHg, (27.41±4.84) mmHg, respectively, and that of the control group was (21.41± 5.19) mmHg,(19.35±3.52)mmHg, respectively, the differences were statistically significant (P<0.05). The incidence of complica-tions of the observation group was 10%, significantly lower than the control group's 27.5%, the difference was statistically signifi-cant (P<0.05). Conclusion Bilateral balance decompressive craniectomy in the treatment of severe closed head injury has a defi-nite effect, which can reduce the incidence of postoperative complications effectively with good safety.
