标准外伤大骨瓣开颅术治疗重型颅脑损伤48例疗效观察

Observation on curative effect of standard large trauma craniotomy in the treatment of severe craniocerebral injury of 48 cases

目的观察标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床效果。方法将我院近5年来收治的84例重型颅脑损伤患者随机分为两组,治疗组(n=48):采用标准外伤大骨瓣开颅术,对照组(n=36):采用常规骨瓣开颅术,观察记录两组术后恢复情况,并进行随访,就并发症发生率、存活率、死亡率等方面进行比较。结果两组并发症总发生率分别为45.83%,69.44%,经检验差异有统计学意义(χ2=4.65,P<0.05)。术后随访6个月～1年,按格拉斯哥预后评分标准(GOS)进行分级,两组良好率、死亡率比较,差异有统计学意义(χ2=4.58,P<0.05;χ2=4.27,P<0.05)。结论在重型颅脑损伤治疗中,标准外伤大骨瓣开颅术显露充分,减压彻底,可有效保护脑功能,明显改善预后和降低病死率。

【Objective】To observe the curative effect of standard large trauma craniotomy in the treatment of severe craniocerebral injury.【Methods】84 patients with severe craniocerebral injury,who were hospitalized in our hospital in recent 5 years,were randomly divided into 2 groups:standard large trauma craniotomy was performed in experiment group(n =48) and routine temporoparietal craniectomy was performed in control group(n =36).The con-ditions of postoperative recovery and follow up were observed and recorded.Sub...