不同术式治疗重型颅脑外伤临床疗效对比分析

Comparative Analysis of Clinical Efficacy of Different Surgical Treatment for Severe Craniocerebral Trauma

目的：研究重型颅脑外伤患者运用不同手术方式治疗的临床效果。方法我院选择2013年5月～2015年5月诊治的116例重型颅脑外伤患者，根据治疗方法不同将其分为两组，组1有58例患者实施标准外伤大骨瓣开颅手术进行治疗，组2有58例患者运用改良标准大骨瓣开颅手术进行治疗，比较两组患者的预后情况及术后并发症出现情况。结果通过对两组患者进行比较，组2患者的远期生存率为82.76%，组1为62.07%，两组患者差异有统计学意义（P＜0.05）；组2患者在术后再出血、颅内感染、切口疝发生情况以及癫痫发生率比组1低，两组患者差异有统计学意义（P＜0.05）。结论重型颅脑外伤患者运用改良标准大骨瓣开颅术治疗能够有效提升患者远期生存率，能够有效降低患者的死亡率，同时避免术后出现并发症。

Objective The clinical effect of treating patients with severe traumatic brain injury patients with different surgical methods.Methods In our hospital in May 2013 and May 2015,116 cases of severe craniocerebral trauma patients,according to the different treatment methods wil be divided into two groups. Group 1 58 patients implementation of standard large trauma craniotomy treatment,two groups of 58 cases of patients with the use of modified standard large bone flap craniotomy treatment,compared two groups of patients and prognosis of postoperative complications arise. Results Through carries on the comparison of two groups of patients,group 2 patients with a long-term survival rate was 82.76%,group 1 was 62.07%,the difference between the two groups were significant and had significant difference（P〈 0.05）,group 2 patients in the postoperative rebleeding,intracranial infection,incisional hernia occurs and epilepsy occur rate significantly lower than 1 group,the difference between the two groups were significant and had significant difference（P〈 0.05）.Conclusion Patients with severe traumatic brain injury using modified standard large bone flap craniotomy in treatment can effectively improve the patients survival rate,can effectively reduce the patient mortality,and avoid the postoperative complications.