重型颅脑损伤应用双侧去骨瓣减压术治疗的临床研究

Clinical research of applying bilateral decompressive craniectomy for severe craniocerebral injury

目的研究双侧去骨瓣减压术治疗重型颅脑损伤的疗效和预后。方法在本院收治的患者中,抽取60例重型颅脑损伤者,随机分成两组,每组30例,对照组30例患者采用标准单侧大骨瓣减压,治疗组患者采用双侧去骨瓣减压术进行治疗,比较两组患者的疗效以及预后。结果治疗组有效率(93.3%)优于对照组(76.6%),两组治疗前后的GCS评分比较,治疗组[治疗前(3.67±0.54)分,治疗后(8.86±0.64)分]的改善情况优于对照组[治疗前(3.85±0.43)分,治疗后(6.13±0.72)分],差异具有统计学意义(P<0.05)。结论双侧去骨瓣减压治疗重型颅脑损伤的效果较好,值得有条件的医院推广使用。

Objective To investigate the therapeutic effect and prognosis of applying bilateral decompressive craniecto- my for severe craniocerebral injury. Methods Sixty patients with severe craniecerebral injury treated in our hospital were selected and randomly assigned into two groups, 30 cases in each group. The 30 patients in control group were treated by standard unilateral decompressive eraniectomy, while the patients in treatment group were given bilateral decompressive craniectomy. The therapeutic effect and prognosis of both groups were compared. Results The therapeu- tic effect of treatment group （93.3%） was better than that of control group （76.6%）. As to the comparison of GCS score of both groups before and after treatment, the improvement of treatment group [before treatment （3.67±0.54） scores, af- ter treatment （8.86±0.64） scores] was superior to that of control group [before treatment （3.8.5±0.43） scores, after treat- ment （6.13±0.72） scores] with statistical difference （P 〈 0.05）. Conclusion For severe eraniocerebral injury, bilateral decompressive craniectomy has better effect and worth widely applying in hospitals with corresponding condition.