标准大骨瓣开颅减压术治疗重型颅脑损伤的疗效观察.pdfVIP

2012 年 7 月第 9 卷第 19 期 临床研究 标稚大骨瓣开颅减压术治疗重型颅脑损伤的 疗效观察 林 宽 陈均昌 刘海生 广东省 中山市陈星海医 院神经外科 广东 中山 528415 [摘要] 目的 探讨 标准大骨瓣 开颅减压术 SLTC 治疗重型颅脑损伤 STBI 的临床 效 果 方法 将 138 例 STBI 患者 随机 分为 两组 观察组 69 例 采 用 SLTC 治疗 对照组 69 例 采 用常 规 骨瓣 开颅减压术治疗 比较 两组 的疗效 结果 观察组颅内压下降速度 和 幅度 明显 大于对照组 P 0.05 或 P 0.01 观察组神经 功 能缺 损评分和术 后 并发症较 对 照组均明显 降低 P 0.05 观察组术 后预后 较 对照组优 P 0.05 结论 SLTC 具有 视野 开 阔 减压 充 分 操 作 方 便 能显著提 高患者生存质量 并减少 病 死率的优 点 是一 种 既有效又安全 的方法 [关键词] 重型颅脑损伤 标准大骨瓣开颅减压术 常规骨瓣开颅减压术 [ 中图分类号] R651.15 [文献标识码] A [文章编号] 1673-7210 2012 07 a -0067-03 Observation of the curative effect on the standard large trauma craniotomy in the treatment of the severe traumatic brain injury LIN Kuan CHEN Junchang LIU Haisheng Department of Neurosurgery, Chenxinghai HospitaI of Zhongshan City, Guangdong Province, Zhongshan 528415 China [abstract] Objective To investigate the cIinicaI effect of the standard Iarge trauma craniotomy (SLTC) in the treatment of severe traumatic brain injury (STBI). Methods 138 patients with severe traumatic brain injury were randomIy divided into two groups, 69 cases in the observation group were treated with the standard Iarge trauma craniotomy, and 69 cases in the controI group were treated with the routine craniotomy. The curative effects of the two groups were compared. Results The decreasing rate and extent of intracraniaI pressure in the observation group were greater than those in the controI group (P 0.05 or P 0.01); the NIHSS and compIication in the observation group were Iower than those in the controI group (P