标准大骨瓣开颅治疗急性重型颅脑损伤合并脑疝35例手术的的体会.docVIP

标准大骨瓣开颅治疗急性重型颅脑损伤合并脑疝35例手术的的体会 　　摘要：目的：探讨临床治疗急性重型颅脑损伤合并脑疝的有效手术办法。方法： 选取2011年7月～2014年7月由我院神经外科收治的35例急性重型颅脑损伤合并脑疝患者为研究对象，按照手术治疗方式的不同分为实验组和对照组，实验组18例，对照组17例。对两组患者的临床手术疗效进行对比。结果：术后，实验组患者的预后情况明显优于对照组，恢复良好率高达61.1%，远远高于对照组的23.5%；且实验组术后出现明显后遗症的患者共3例（16.7%），远远低于对照组患者的10例（58.9%），两组的差异在比较上，具有统计学意义（P0.05）。结论： 对急性重型颅脑损伤致脑疝形成患者行标准大骨瓣减压术，能有效降低患者的死亡率、提高治愈率、缓解手术并发症、有效预防患者术后后遗症的形成，使患者的生存质量得到大幅度提高，最大限度地保留了患者正常的脑部功能，值得临床上广泛推广使用。 　　关键词：急性；重型颅脑损伤；脑疝 　　Abstract：Objective To explore the effective operation to the clinical treatment of acute severe brain injury complicated with cerebral hernia. Methods from 2011 July ～2014 year in July by the Department of neurosurgery in our hospital treated 35 cases of acute severe craniocerebral injury patients complicated with cerebral hernia operation as the research object， according to the different treatments were divided into experimental group and control group， 18 cases in the experimental group， the control group of 17 cases. To compare the curative effect of two groups of patients. Results after the operation， prognosis is obviously better than the patients in the experimental group and the control group， the recovery rate as high as 61.1%， far higher than 23.5% in the control group； and the patients of the experimental group appeared obvious sequelae in patients with a total of 3 cases （16.7%）， far less than the control group of 10 cases of patients （58.9%）， two groups of difference in comparison， with statistical significance （P 0.05）. Conclusion cerebral hernia formation underwent standard large trauma craniotomy on patients with acute severe brain injury， can effectively reduce the mortality and improve the cure rate， alleviate the complications of surgery， the formation of effective prevention of postoperative patients with sequela， the survival quality of patients was improved greatly， to maximize the retention of the patients with normal brain function， is worth the clinical widely spread and use. 　　Key words：acute； severe cranioce