标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床分析.pdfVIP

2016 NO.28 中外医疗 ChinaForeignMedicalTreatment DOI：10.16662/j.cnki.1674-0742.2016.28.053 标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床分析 袁新春,董伟 江苏省沛县人民医院神经外科,江苏徐州 221600 [摘要] 目的探析标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床效果。 方法方便选取该院2001年 1月—2005年 12月收治的45例重型颅脑损伤患者,随机分为治疗组(23例)和对照组(22例),治疗组采取标准外伤大骨瓣开颅术 治疗,对照组采取常规骨瓣开颅术治疗,比较两组疗效及神经功能缺损评分。结果治疗组良好率47.83%、存活率78.26%、 并发症发生率 17.39%与对照组比较差异有统计学意义(P﹤0.05)；治疗组神经功能缺损评分(12.68±5.23)分与对照组 比较差异有统计学意义(P﹤0.05)。 结论标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床效果确切,优于常规骨瓣开 颅术,值得推广。 [关键词] 标准外伤大骨瓣开颅术；重型颅脑损伤；临床效果 [中图分类号] R651 [文献标识码]A [文章编号] 1674-0742(2016)10(a)-0053-03 ClinicalAnalysisofStandardLargeTraumaCraniotomyforTreatingSe- vereBrainInjury YUANXin-chun,DONGWei PeixianCountyofJiangsuProvincePeoplesHospitalNeurosurgery,Xuzhou,JiangsuProvince,226100China [Abstract]ObjectiveAnalysisofstandardlargetraumacraniotomyfortreatingseverebraininjuryclinicalresults. Meth- ods ConvenientselectionourhospitalinJanuary2001—December2005weretreated45casesofseveretraumaticbrainin- jurywererandomlydividedintotreatmentgroup(23cases)andcontrolgroup(22cases),thetreatmentgroupreceivedstan- dard large traumacraniotomytreatment,the controlgroupreceived conventional craniotomytreatment,twogroups were comparedandneurologicalfunction. Results Goodrateof47.83%intreatmentgroup,thesurvivalrateof78.26%,17.39% complicationratedifferencecomparedwiththecontrolgroup(P 0.05);treatmentgroup,neurologicaldeficitscores(12.68± 5.23)pointsdifferencecomparedwiththecontrolgroup (P0.05). Conclusion Standardlargetraumacraniotomyfortreating severebraininjuryclinicalexacteffect,superiortoconventionalcraniotomy,worthyofpromotion. [Keywords]Standardlargetraumacraniotomy;Severebraininjury;Clinicaleffect 重型颅脑损