标准大骨瓣减压手术治疗颅脑外伤临床分析.docVIP

标准大骨瓣减压手术治疗颅脑外伤临床分析 　　doi：10.3969/j.issn.1007-614x.2014.14.44 　　摘 要 目的：针对颅脑外伤患者，研究分析对其行标准大骨瓣减压手术的疗效。方法：抽取颅脑外伤患者50例，随机分为试验组和对照组，每组25例，试验组采用标准大骨瓣减压疗法，对照组采用常规开颅减压疗法，对比两组的治疗效果。结果：试验组死亡5例（20%），重度残疾/植物状态7例（28%），中度残疾/良好13例（52%）；对照组死亡10例（40%），重度残疾/植物状态10例（40%），中度残疾/良好5例（20%）。试验组患者的死亡率、残疾/良好率明显低于对照组（P0.01）。结论：采用标准大骨瓣减压手术治疗颅脑外伤可以有效地保护其功能，同时使脑部组织充分减压，降低了死亡率。 　　关键词 颅脑外伤 标准大骨瓣减压手术 常规减压疗法 　　Clinical analysis of standard big bone flap decompression surgery in the treatment of craniocerebral trauma 　　Yang Wei，Luo Tao，Ma Mingzhong 　　The brain surgery of Chinese medicine hospital in Guiding County，Qiannan State，Guizhou Province，551300 　　Abstract Objective：To study and discuss the curative effect of standard big bone flap decompression surgery for the patients with craniocerebral trauma.Methods：50 cases of patients with craniocerebral trauma were randomly divided into the experimental group and the control group with 25 patients in each group.The experimental group used the standard big bone flap decompression therapy，while the control group used conventional craniotomy decompression therapy.Compare the treatment effect of two groups.Results：In the experimental group，5 cases were died（20%），7 cases were severe disability/vegetative state（28%），13 cases were moderate disability/good（52%）.In the control group，10 cases were died（40%），10 cases were severe disability/vegetative state（40%），5 cases were moderate disability/good（20%）.The death rate and disability/good rate of patients in the experimental group were significantly lower than that of the control group（P0.01）.Conclusion： Using standard big bone flap decompression surgery in the treatment of craniocerebral trauma can be effective protection function.It can fully reduced brain tissue pressure，and reduce the mortality at the same time. 　　Key words Craniocerebral trauma；Standard big bone flap decompression surgery；Conventional decompression therapy 　　颅脑外伤是一种比较常见的损伤，最为常见的是跌坠伤和撞伤。该病常发生于交通事故、灾难中[1]。近年来，颅脑外伤患者病情发展速度不断加快，同时会伴有脑水肿、