改良去骨瓣减压术与标准去骨瓣减压术治疗重度颅脑损伤的临床研究

Clinical Research of Improved Bone Disc Decompression and Standard Bone Disc Decompression for Severe Craniocerebral Injury

目的比较改良去骨瓣减压术与标准去骨瓣减压术治疗重度颅脑损伤临床疗效。方法将我院收治的206例重度颅脑损伤患者随机分为观察组和对照组,每组各103例,前者采用改良去骨瓣减压术治疗,后者予标准去骨瓣减压术治疗,对比分析两组手术情况及临床疗效。结果观察组手术时间、术中出血量、颅内压恢复正常时间、手术并发症发生率、恢复良好率等均优于对照组(P<0.05)。结论改良去骨瓣减压术治疗重度颅脑损伤可缩短手术时间、减少出血量,降低并发症,改善预后,临床值得推广。

Objective To compare the clinical effects of improved decompression and standard decompression in the treatment of severe craniocerebral injury. Methods 206 patients with severe craniocerebtal injury were randomly divided into the observation group and the control group, with 103 patients in each group respectively. The observation group was treated with the improved decompression and the control group was treated with the standard decompression. The operative time, intraoperative blood loss, time of recovery of intracranial pressure, incidence of operative complications, patients＇ GOS score and other indicators of the two groups were compared. Results The operation time, intraoperative blood loss, time of recovery of intracranial pressure of the observation were less than control group （P〈0.05）. The incidence rate of operative complications was 33.0% in the observation group and 57.3% in the control group, with statistically significant difference between the two groups （x^2= 12.251, P〈0.05 ）. The recovery rate of observation group were higher than those of control group （P〈0.05）. Conclusion The improved bone disc decompression can more thoroughly shorten operative time, lower intraoperative blood loss and surical complications, worthy of promotion and recognition.