重型颅脑外伤行改良标准外伤大骨瓣开颅术疗效及安全性评价.docVIP

精品论文 参考文献 重型颅脑外伤行改良标准外伤大骨瓣开颅术疗效及安全性评价 九〇三医院神经外科 621700 【摘 要】目的：研究重型颅脑外伤行改良标准外伤大骨瓣开颅术的临床治疗情况以及安全情况。方法：回顾分析在我院接受重型颅脑外伤治疗的患者100例，将其随机平均分为对照组与观察组，每组患者50例。观察组患者采取改良标准外伤大骨瓣开颅术进行治疗，对照组患者采用常规骨瓣开颅术的治疗方式，最后将两组患者的临床治疗效果及治疗的安全性进行对比分析。结果：根据治疗数据的统计分析，对照组患者身体恢复良好的患者有15例，占总人数的30.0%，死亡的人数有18例，占总人数的36.0%；观察组患者身体恢复良好的患者有20例，占总人数的40.0%，死亡的人数有12例，占总人数的24.0%，将两组患者的身体恢复情况及死亡概率相对比，差异明显，具有统计学差异，Plt;0.05。观察组患者术后并发症出现概率为18.0%，明显低于对照组患者的并发症概率32.0%，差异明显，具有统计学差异，Plt;0.05。结论：重型颅脑外伤采用改良标准外伤大骨瓣开颅术进行治疗临床效果显著，治疗有效率高，患者身体恢复良好，死亡及残疾的概率降低，加快了患者身体的痊愈，安全可靠，值得进一步推广以及更深的研究。 【关键词】颅脑外伤；标准外伤大骨瓣开颅术；疗效及安全性评价 [Abstract]Objective：the clinical treatment of severe craniocerebral trauma underwent modified standard trauma big bone flap craniotomy and safety.Methods：a retrospective analysis in our hospital accepted treatment of severe craniocerebral trauma patients with 100 cases randomly divided into control group and observation group，50 cases of patients in each group.Patients in the observation group adopted the modified standard trauma big bone flap craniotomy for treatment，the control group were treated with routine craniotomy treatment.Finally，the comparison and analysis of the safety of the curative effect of the two groups of patients and treatment.Results：according to the statistical analysis of the data，control group patients body restore good patients 15 cases，accounting for 30.0% of the total number，the number of deaths has 18 cases，accounts for 36.0% of the total number；observation group patients with physical 20 cases of patients with good recovery，accounting for 40.0% of the total number of，the number of deaths has 12 cases，accounting for 24.0% of the total number，two groups of patients，the body recovery and death probabilities are compared，and the difference is significant，and the difference is statistically significant，Plt;0.05.observed groups of patients with postoperative complications probability was 18.0%，significantly lower than the control group of patients with complication probability 32.0%