刍议双侧平衡去骨瓣减压术应用于重型闭合性颅脑损伤的临床疗效.pdfVIP

论 著 ChniaForeignMedicalTreatment—口—固■譬曩_ 刍议双侧平衡去骨瓣减压术应用于重型闭合性 颅脑损伤的临床疗效 蒋敏杰 江苏省宜兴市人民医院神经外科，江苏宜兴 214200 摘【要】目的探讨对双侧平衡去骨瓣减压术应用于重型闭合性颅脑损伤的临床疗效进行评价。方法 以该院收治的重型闭合 性颅脑损并采用双侧平衡去骨瓣减压术进行治疗患者 174例作为研究对象，其中83例进行预见性一次双侧平衡去骨瓣减 压术进行治疗。其余患者进行了两次去骨瓣减压。对2组病人的临床治疗和恢复效果进行观察、统计和分析。结果观察组死 亡率为25．3％显著优于治疗组30．g％；观察组术后恢复良好比率为30．12％明显优于对照组20．88％，两组对比差异有统计学 意义(PO．05)。结论 有预见性的采取双侧平衡去骨瓣减压术应用于重型闭合颅脑损伤具有非常显著的l临床效果。 关【键词】双侧平衡去骨瓣减压术；闭合性颅脑损伤；临床效果 中【图分类号】R651．15 文【献标识码】A 文【章编号】1674-0742(2014)04(c)-0053-02 AnalysisoftheClinicalEffectofBilateralBalanceDecompressiveCraniec- tomyAppliedtotheTreatmentofSevereClosedCraniocerebralInjury JIANGMimic DepartmentofNeurosurgery，JiangsuYixingPeoplesHospital，Yixing，JiangsuProvince，214200，China [Abstract]ObjectiveToevaluatetheclinicaleffectofbilateralbalancedecompressivecraniectomyappliedtothetreatmentofse- vereclosedcraniocerebralinjury．Methods174casesofpatientswithsevereclosedcraniocerebralinjurytreatedinourhospitalby bilateralbalancedecompressivecraniectomywereselectedasthesubjects，ofwhom，83casesunderwentabilateralbalancede- compressivecraniectomypredictablelyandhteohterpatientsundewr enttheseconddecompressivecraniectomy．Theclinicaltreat— mentandrecovery effectoftwogroupsofpatientsweDgobserved，countedandanalyzed．ResultsThemortalityoftheobservation groupwas25．3％．whichwassignificantly lowerhtan 30．8％ ofthetreatmentgroup；thegoodrecovery ratiooftheobservation groupwas30．12％，obviouslyhigherthan20．88％ ofthecontrolgroup，thedifferencesbetweentwogroupswerestatisticallysignfii- cnat(P0．05)．ConclusionBilateralbalancedecompressivecraniectomyappliedtohtetreatmentofsevereclosedcraniocerebralin— jurypredictablyhasverysignificantclinicaleffect． [Keywords]Bilateralbalancedecompressiveeraniectomy；