早期微创治疗额叶脑挫裂伤临床观察

Minimally invasive treatment of early clinical observation frontal lobe contusion

目的探讨两种方法治疗额叶脑挫裂伤的临床疗效,说明早期微创治疗额叶脑挫裂伤的优势。方法对本科2006～2011年收治的100例额叶脑挫裂伤患者分别进行颅内早期微创清除术治疗(观察组)和开颅清除术(对照组),观察对比两组临床疗效、病死率。结果观察组52例患者治疗后优良率为53.85%,死亡率为15.38%;对照组48例患者治疗后优良率为45.83%,死亡率为25.00%;通过半年随访,观察组52例患者预后ADLI级与对照组48例患者比较,差异均有统计学意义(P<0.05)。结论早期微创有效治疗额叶脑挫裂伤,较传统开颅手术具有手术创伤小,并发症少,病亡率低等特点,值得在临床上进一步推广应用。

Objective To indicate that advantage of early invasive treatment then investigating two methods of clinical efficacy of treatment of frontal lobe contusion.Methods Devided 100 patients who attacked by frontal lobe contusion from 2006 to 2011 into two groups,minimally invasive surgery for early treatment of intracranial（observation group） and cranial dissection（control group）,clinical efficacy and disease death rate of two groups were observed and compared.Results There were 53.8% good clinical efficacy and 15.38% death rate in observation group containing 52 patients,and 45.83% good clinical efficacy and 25.00% death rate in control group containing 48 patients.By six months followed-up,compared the ADLI level of prognosis of observation group and control group,the difference was statistically significant（P 0.05）.Conclusion Minimally invasive and effective treatment of early frontal lobe contusion is less surgical trauma,fewer complications,lower disease death rate and other good characteristics than traditional craniotomy,it is a further worthy application in clinical practice.