标准大骨瓣开颅与常规骨瓣开颅手术对重型颅脑损伤患者的疗效

The clinical efficacy comparison between standard large trauma craniotomy and conventional craniotomy for treating patients with severe traumatic brain injury

目的探讨标准大骨瓣开颅手术与常规骨瓣开颅手术对重型颅脑损伤患者的临床疗效和并发症发生情况。方法选择我院收治的142例重型颅脑损伤患者的临床资料,对照组70例患者采用常规骨瓣开颅手术,观察组72例患者采用标准大骨瓣开颅手术,比较2组患者的临床疗效和并发症发生情况。结果治疗后,观察组患者良好率约为56.94%,明显高于对照组的良好率,差异有明显统计学意义(P<0.05)。术后第1～5天,2组患者的颅内压均明显下降,观察组患者下降更明显,差异有明显统计学意义(P<0.05)。观察组患者并发症的发生率低于对照组,但差异无明显统计学意义(P>0.05)。结论标准外伤大骨瓣治疗重型颅脑损伤患者具有明显疗效,临床疗效和术后颅内压下降明显,值得临床推广和应用。

Objective To compare the clinical efficacy and complications between standard large trauma craniotomy and routine craniotomy surgery for treating patients with severe traumatic brain injury. Methods 142 patients with severe traumatic brain injury were divided into the control group （70 patients, treated with conventional craniotomy surgery） and the observation group （72 patients, treated with standard large trauma craniotomy）. Results After treatment, the excellence rate （56.94%） in the observation group was higher that in the control group （P〈0.05）. After 1~5 days, the intracranial pressure of two groups were significantly decreased especially in the observation group （P〈0.05）. The incidence of complications of observa- tion group was similar with that in the control group （P〉0.05）. Conclusion The standard large trauma treating patients with severe traumatic brain injury has significant effect, and it is worthy of clinical promotion and application.