显微手术治疗脑挫裂伤临床研究

Clinical analysis of microsurgery for brain contusion

目的探讨显微手术治疗脑挫裂伤的效果。方法回顾分析396例手术治疗的脑挫裂伤患者资料,其中显微手术236例,常规手术160例,将两组资料进行对照研究。结果显微手术组中线复位程度较常规手术组明显。术后24 h后显微手术组患者颅内压较对照组低。显微手术组术区再出血、再次手术、脑梗死、癫痫发生率优于常规手术组。两组颅内感染发生率无明显差异。术后6月显微手术组预后明显优于对照组。结论显微手术有利于提高脑挫裂伤的治疗效果,减少并发症,提高生存质量。

Objective To evaluate the effect of microsurgery on cerebral contusion. Methods The clinical data of 396 patients with cerebral contusion including 236 with microsurgery and 160 with tradition surgery were compared, and analyzed retrospectively. Results The levels of postoperative midline shift in the group of microsurgery were more serious than that of tradition surgery. Moreover the values of intraeranial pressure were lower in the group of microsurgery than that of tradition surgery. Compared to the group of tradition surgery, the incidence of surgical bleeding, re-operation, cerebral infarction, epilepsy in the group of microsurgery were lower. And the incidence of intracranial infection had no difference between the two groups. After six months, the score of GOS were higher in the microsurgery group than the control group. Conclusion Microsurgery will help improve the treatment of cerebral contusion, reduce complications and improve quality of life.