颞肌切除辅助标准大骨瓣开颅治疗特重型颅脑损伤的可行性及安全性

Feasibility and safety of standard big bone flap craniotomy with temporal muscle resection in treatment of severe traumatic head injury

目的:探讨颞肌切除辅助标准大骨瓣开颅治疗特重型颅脑损伤的可行性及安全性。方法:将31位特重型颅脑损伤的患者随机分为研究组及对照组,研究组16例患者行颞肌切除辅助标准大骨瓣开颅血肿清除减压术,对照组15例患者只行标准大骨瓣开颅血肿清除减压术,对两组患者进行为期3个月的随访,观察比较疗效及并发症的发生率。结果:研究组疗效明显优于对照组,差异有统计学意义(P<0.05)。研究组和对照组出现的不良反应发生率分别为43.8%和46.7%,差异无统计学意义(P>0.05)。结论:颞肌切除辅助标准大骨瓣开颅术疗效优于标准大骨瓣开颅术疗效。

Objective：To discuss feasibility and safety of standard big bone flap craniotomy with temporal muscle resection in treatment of severe traumatic head injury. Methods：31 cases with severe traumatic head injury were randomly divided into experimen-tal group and control group. The experimental group included 16 cases, which were treated with the standard big bone flap craniotomy with the temporal muscle resection;while control group included 15 cases, which were only fixed with the standard big bone flap crani-otomy. After 3 months follow-up study, the curative effect and the complication rate of the two groups were observed and compared. Results：Experimental group was better than control group in the curative effect and the difference was statistically significant （ P〈0. 05）. The adverse reaction incidences of experimental group and control group were 43. 8% and 46. 7%, respectively, and the differ-ence was statistically insignificant （P〉0. 05）. Conclusions：The standard big bone flap craniotomy with the temporal muscle resection has better clinical effects than the single standard big bone flap craniotomy.