重度颅脑伤病人行去骨瓣减压术后硬脑膜减张缝合的疗效分析

Clinical Curative Effect Analysis on Dural De-Stretching Suture Operation after Removing Bone Valve Decompression For the Heavy Degree Skull Brain Wounded Patients

目的 研究重度颅脑伤病人行去骨瓣减压术后硬脑膜减张缝合的临床疗效。方法 将重度颅脑伤(GCS<8分)行去骨瓣减压术后的病人行硬脑膜减张缝合与敞开硬脑膜两种术式,对比术后3月GCS评分及并发症进行临床分析。结果治疗组(行硬脑膜减张缝合术)术后3月GCS评分10.3±1.6,并发症6例;对照组(行敞开硬脑膜术)术后3月GCS评分8.6±1.2,并发症16例;治疗组明显优于对照组(P<0.05)。结论 重度颅脑伤病人行去骨瓣减压术后硬脑膜减张缝合具有明显的临床疗效。

Objective To study clinical curative effect on dural de-stretching suture operation after removing bone valve decompression for the heavy degree skull brain wounded patients. Methods To divide the patients after removed bone valve decompression into the therapy group (dural de-stretching suture op-eration)and the control group(open wide dural operation),analyze GCS scores after operation three months later and theie complications. Results Compared GCS scores three month later,the therapy group(10.3±1. 6)are much better than the control group(8.6±1.1),P<0.05;the complications of the therapy group (5/32)are much less than that of the control group(16/32) ,P<0. 01. Conclusion Dural de-stretching suture operation after the heavy degree s ill brain wounded patients removed bone valve decompression is of obvious clinical curative effect.