改良去骨瓣减压术治疗重型颅脑损伤的临床效果

目的探讨改良去骨瓣开颅减压手术治疗重型颅脑损伤患者的临床效果。方法选择收治的252例重型颅脑损伤患者,根据手术方式的不同随机分为观察组和对照组各126例,观察组采用改良去骨瓣开颅术治疗,对照组采用标准外伤大骨瓣减压术,比较两组的临床治疗效果。结果所有患者经6个月随访,按GOS评分观察组总有效率为61.90%(78/126),对照组总有效率为40.48%(51/126),观察组临床治疗效果显著高于对照组,两组比较差异具有统计学意义(P<0.05);观察组的并发症发生率为7.94%(10/126),对照组的并发症发生率为27.78%(35/126),观察组并发症发生率显著低于对照组,两组比较差异具有统计学意义(P<0.05)。结论改良去骨瓣开颅术是治疗重型颅脑损伤疗效显著,术后并发症少,值得临床推广应用。

Objective To investigate the clinical efficacy of modified operation craniotomy decompression in the treatment of patients with severe craniocerebral injury. Methods Choose the hospital 252 cases of severe craniocerebral injury patients, according to the different methods of surgery were randomly divided into observation group and control group 126 cases, observation group modified to bone flap craniotomy treatment, control group adopts standard trauma big bone flap decompression, comparing two groups of clinical therapeutic effect.Results All patients were followed up after six months, according to GOS score observation group, the total effective rate was 61.90%（78/126）, the control group, the total effective rate was 40.48%（51/126）in the observation group was significantly due to the clinical treatment control group, two group difference was statistically significant （P＆lt;0.05）; observation group complication rate was 7.94%（10/126）, the control group complication rate was 27.78%（35/126）in the observation group complication. The incidence was significantly lower than the control group, the difference was significant （P＆lt;0.05）. Conclusion Improvements to craniotomy is the treatment of severe head injury a significant effect, fewer postoperative complications, worthy of clinical application.