构建脑血管隧道的临床疗效分析

Clinical analysis of cerebral vascular tunnel construction

目的探讨构建脑血管隧道的临床疗效。方法将46例去骨瓣减压术的术中构建血管隧道患者设为隧道组;另选取单纯去骨瓣减压手术46例作为对照组,比较两组患者术后恢复时间及GOS评分。结果隧道组与对照组患者CT中线平均恢复时间分别为(9.5±2.2)d、(13.8±3.7)d,差异具有统计学意义(t=4.73,P<0.05);GOS评分分别为(4.6±0.4)分、(3.4±0.7)分,差异具有统计学意义(t=4.09,P<0.05)。结论构建血管隧道后,血管在构建的"隧道"内,解决了占位效应对血管的压迫,缓解脑内的高颅压低灌注、低回流状态,使脑组织供氧增加,更有利于患者的预后。

Objective To investigate the clinical efficacy of cerebral vascular analysis of tunnel construction. Methods A total of 46 cases of vascular tunnel were built in decompressive craniectomy surgery were selected as tunnel group,and 46 cases with simple decompressive craniectomy surgery were selected as control group, and two groups ＇s postoperative recovery time and GOS score were compared. Results Postoperative recovery time of tunnel group and control group were（9.5±2.2）d and（13.8±3.7）d, and there was statistical difference on them（t=4.73, P〈0.05）, and GOS score were（4.6±0.4） and（3.4±0.7）, and there was statistical difference on them（t=4.09, P〈0.05）. Conclusion Vascular tunnel, blood vessels in the construction of the ＂tunnel＂, solve the oppression of occupying effect on blood vessels, alleviate low perfusion, high intracranial low reflux state in the brain, the brain tissue oxygen supply increased, more conducive to the patient＇s prognosis.