重型颅脑损伤行标准大骨瓣减压术与常规骨瓣开颅术的比较

Comparison of standard large trauma craniotomy and routine craniotomy in treatment of severe craniocerebral injury

目的探讨标准大骨瓣减压术与常规骨瓣开颅术治疗重型颅脑损伤的临床疗效。方法基于本院自2011年3月~2014年3月收治的60例重型颅脑损伤患者的临床治疗效果,按照治疗方式的不同,将60例患者分为两组,观察组和对照组,各30例。给予观察组患者标准大骨瓣减压术临床治疗方法,给予对照组患者常规骨瓣开颅术治疗方法。比较两组患者的临床治疗效果。结果两组患者在接受临床治疗后,其临床症状都得到明显的好转,但是观察组患者的好转程度要明显的优于对照组,且对照组患者并发症的发生率高于观察组,两组患者的临床治疗差异具有统计学意义（P〈0.05）。结论标准大骨瓣减压术治疗重型颅脑损伤所产生的临床治疗效果比较良好,且并发症的发生概率比较小,是一种有效的临床治疗重型颅脑损伤的方法,值得在临床治疗中推广应用。

Objective To explore clinical curative effect of standard large trauma craniotomy and routine craniotomy in treatment of severe craniocerebral injury. Methods Based on clinical curative effect,60 patients with severe craniocerebral injury who were admitted to our hospital from March 2011 to March 2014 were allocated to the observation group and the control group with 30 in each according to different treatment methods. Patients in the observation group were treated by standard large trauma craniotomy while patients in the control group were treated by routine craniotomy. Clinical curative effects of patients in two groups were analyzed and compared. Results After clinical treatment,clinical symptoms of patients in two groups were all significantly improved,but the improvement in the observation group was significantly better than the control group.Incidence of complication of the control group was significantly higher than that of the observation group and the clinical treatment difference of two groups had statistical significance（P〈0.05）. Conclusion Standard large trauma craniotomy in treatment of severe craniocerebral injury has better clinical curative effect and lower incidence of complication.It is an effective method for clinical treatment of severe craniocerebral injury,worthy of clinical promotion and application.