天幕切开脑疝复位手术与常规手术治疗重型颅脑损伤合并脑疝临床对比研究.docVIP

天幕切开脑疝复位手术与常规手术治疗重型颅脑损伤合并脑疝临床对比研究 　　[摘要] 目的 探究天幕切开脑疝复位手术与常规手术治疗重型颅脑损伤合并脑疝的临床效果，并进行对比。方法 整群选取该院2013年8月―2015年10月收治的84例重型颅脑损伤合并脑疝患者作为研究对象，采取随机数字表法将患者分为观察组和对照组，对照组患者常规手术治疗，观察组患者采取天幕切开脑疝复位手术治疗，观察对比两组患者治疗效果及并发症情况。 结果 观察组治疗总有效率为90.48%，总并发症率为4.76%，对照组分别为71.43%、19.05%，观察组总有效率高于对照组，总并发症率低于对照组，P0.05，差异具有统计学意义。结论 天幕切开脑疝复位手术治疗重型颅脑损伤合并脑疝效果佳，并发症少，安全性高，具有极高临床推广价值。 　　[关键词] 重型颅脑损伤合并脑疝；天幕切开脑疝复位手术；常规手术；并发症 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2016）05（c）-0101-02 　　[Abstract] Objective To study and compare the clinical effect of awning cut hernia reduction operation and conventional operation in treatment of severe craniocerebral injury combined with hernia. Methods 84 cases of patients with severe craniocerebral injury combined with hernia admitted and treated in our hospital from August 2013 to October 2015 were selected as the research objects， the control group were treated with conventional operation， the observation group were treated with awning cut hernia reduction operation， and the treatment effects and complications of the two groups were observed and compared. Results The total treatment effective rate in the observation group was higher than that in the control group， （90.48% vs 71.43%）， the total complication rate in the observation group was lower than that in the control group， （4.76% vs 19.05%） ， and the differences had statistical significance， P0.05. Conclusion The effect of awning cut hernia reduction operation and conventional operation in treatment of severe craniocerebral injury combined with hernia is good with fewer complications and high safety， which has an extremely high clinical promotion value. 　　[Key words] Severe craniocerebral injury combined with hernia； Awning cut hernia reduction operation； Conventional operation； Complication 　　重型颅脑损伤患者往往存在颅内压升高现象，因而常常合并脑疝使得患者局部脑组织遭受压迫，继发脑梗死、脑干损伤等，该病致残率及死亡率较高，严重威胁患者生命安全，给患者家庭带来沉痛打击[1-2]。目前临床治疗该病多采取手术治疗，随着医疗技术的发展进步，人们对治疗的要求越来越高，天幕切开脑疝复位手术逐渐广泛应用于重型颅脑损伤合并脑疝疾病中[3-4]。为了探究天幕切开脑疝复位手术手术与常规手术的效果及临床价值，整群选取该院2013年8月―