标准大骨瓣开颅减压术治疗重型颅脑损伤的疗效观察

The observation of curative effect on the standard large trauma craniotomy in severe craniocerebral injury

目的:探讨标准大骨瓣开颅减压术治疗重型颅脑损伤的手术方式及临床效果。方法:将79例重型颅脑损伤患者随机分为两组,观察组40例采用标准大骨瓣开颅减压术,对照组39例采用常规骨瓣开颅术。观察两组术后恢复情况并进行对比分析。结果:观察组患者术后恢复情况明显优于对照组(P<0.05),而中残率和长期昏迷则低于对照组(P<0.05);两组并发症发生率分别为37.50%、66.67%,差异有统计学意义(P<0.05)。结论:标准大骨瓣开颅减压术治疗重型颅脑损伤具有操作简便、减压彻底等优点,可明显改善预后,减少后遗症,提高患者的生存质量。

Objective：To evaluate the modus operandi and clinical effect of the standard large trauma craniotomy in severe craniocerebral injury.Methods：79 severe craniocerebral injury patients were randomly divided into two groups,40 cases in the observation group were adopted the standard large trauma craniotomy,39 cases in the control group were adopted the old craniotomy with bone flap.To observe the comeback circs after surgery and comparative analyzed in two groups.Results：The comeback circs after surgery of the observation group was better than the control group（P0.05）,the moderate disabled rate and long-term coma were lower than the control group（P0.05）.The complication incidence rate in two groups were 37.50% and 66.67%,there were difference statistical significance between them（P0.05）.Conclusion：The standard large trauma craniotomy treatment for severe craniocerebral injury,its strongpoint is easy and simple to handle,reducing pressure in grain and so on,it can be ameliorate prognosis,abate the sequela,improve the patient ＇s quality life.