血管隧道技术在重型颅脑损伤减压术中的应用体会.docVIP

精品论文 参考文献 血管隧道技术在重型颅脑损伤减压术中的应用体会 柳州市人民医院神经外科 545005 【摘 要】目的：分析血管隧道技术在重型颅脑损伤减压术中的应用效果。方法：本研究共纳入81例重型颅脑损伤患者，根据术式不同将患者分为对照组和实验组。对照组患者接受单纯去骨瓣减压术，实验组在接受单纯去骨瓣减压术的基础上行血管隧道技术。最终，对照组纳入51例，实验组纳入30例，比较两组患者的疗效。结果：实验组和对照组的存活率有统计学意义，但实验组和对照组的有效生存率的差异有无统计学意义。实验组和对照组患者的急性脑膨出、术后大面积脑梗差异明显，有统计学意义（Plt;0.05）。实验组的骨窗脑组织嵌顿、迟发性血肿、脑移位脑干扭曲变形的几率与对照组的差异不明显，差异无统计学意义（P＞0.05）。实验组的平均住院时间为（53.9plusmn;12.6）d，住院费用（7.1plusmn;4.3）万元，对照组的平均住院时间为（72.6plusmn;15.3）d，住院费用（8.9plusmn;5.6）万元，两组患者的平均住院时间、住院费用的差异有统计学意义（P＜0.05）。结论：重型颅脑损伤去骨瓣减压术中应用血管隧道技术可提高患者存活率，降低部分并发症（急性脑膨出、术后大面积脑梗）发生几率，缩短住院治疗时间，降低患者的医疗负担。 【关键词】重型颅脑损伤；去骨瓣减压术；血管隧道技术 Vascular tunnel decompression technology in patients with severe traumatic brain injury study 【Abstract】Objective analysis of vascular decompression of tunnel technology in patients with severe traumatic brain injury. Method：based on 81 cases of severe craniocerebral injury patients for the study，based on a random number table were divided into control and experimental groups，51 cases in the control group，the experimental group30. patients of control group receive bone flap decompression，experimental group accept bone flap decompression for the treatment of vascular tunnel based uplink technology，therapeutic effect were compared between the2 groupa. Results：there was a significant difference in the average encephalocele，traumatic epilepsy，delayed hematoma，incision cerebrospinal fluid leakage，risk of intracranial infection no significant differences with the control group，the difference was not statistically significant（Pgt;0.05）. The average length of time in the experimental group（53.9 plusmn; 12.6）d，hospitalization costs（7.1 plusmn; 4.3）million，average length of stay for the control group（72.6 plusmn; 15.3）d，hospital fees（8.9 plusmn; 5.6）million，length of time and hospitalization cost between two groups（Plt;0.05）. Conclusion：order cut film bone flap decompression may improve patientsrsquo; survival rates，reduce the chance of complications. Vascular decompression application tunneli