9-2 标准外伤骨瓣治疗急性硬膜下血肿疗效分析.docVIP

标准外伤骨瓣治疗急性硬膜下血肿疗效分析 李青峰 罗晟 张嘉 四川省什邡市人民医院 【摘要】目的 探讨标准外伤骨瓣对急性硬膜下血肿的治疗疗效。方法 选取2009年1月~2013年6月年我院神经外科收治的急性硬膜下血肿具有手术指征患者160例为研究对象，将其中2009年1月~2011年5月80例行常规骨瓣治疗患者分为对照组，将2011年5月~2013年6月行标准外伤骨瓣治疗的另80例患者分为观察组，分析两组患者入院到术后6月随访的临床资料，对比两组患者恢复情况和并发症出现情况。结果 术后6月观察组死亡1例，对照组死亡3例，观察组较对照组少但比较无明显差异（P＞0.05），观察组植物状态、严重残疾、中度残疾分别为1、6、19例，均少于对照组的7、16、41例，两组比较有统计学意义（P＜0.05），观察组恢复良好53例，明显高于对照组恢复良好13例，两组比较有统计学意义（P＜0.05）；术后6月观察组发生并发症18例（22.5%），对照组并发症发生36例（45.0%），两组比较有统计学意义（P＜0.05）。结论 标准外伤骨瓣治疗急性硬膜下血肿具有显著的临 床疗效，帮助患者改善预后，减少并发症出现，值得在临床中借鉴应用。 【关键词】标准外伤骨瓣；常规骨瓣，急性硬膜下血肿 Analysis of standard trauma craniectomy efficacy in the treatment of acute subdural hematoma [Abstract] Objective To explore the curative effect of standard trauma craniectomy for acute subdural hematoma. Acute epidural hematoma in patients from 2009 January ~2013 year in June for years in our hospital were admitted to Department of Neurosurgery, 160 cases as the research object, the 2009 January ~2011 year in May 80 routine bone flap to treat patients were divided into control group, in 2011 May ~2013 year in June for the other 80 patients standard trauma craniectomy treatment is divided into the observation group, analysis of two groups of patients admitted to the clinical data of postoperative June follow-up, compared two groups of patients with recovery and complications. Results after June in observation group, 1 cases of death, 3 cases died in the control group, observation group than in the control group but were no significant difference (P 0.05), the observation group, severe disability, vegetative state moderate disability were 1, 6, 19 cases, were lower than the control group of 7, 16, 41, the two groups was statistically significant (P 0.05), the observation group 53 cases of good recovery, significantly higher than that of the control group of 13 cases of good recovery, two groups was statistically significant (P 0.05); after June the observation group of 18 cases had complications (22.5%) occurred in 36 cases, contr