标准外伤大骨瓣开颅术治疗重型颅脑损伤分析

Analysis of Standard large trauma craniotomy in the treatment of severe brain injury

目的:分析标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床效果。方法:将42例重型颅脑损伤病例均分为两组,每组各21例。对照组行常规骨瓣开颅减压处理,观察组则采取标准外伤大骨瓣开颅处理。观察两组治疗效果以及并发症情况。结果:观察组患者的治疗良好率38.1%,明显优于对照组的19.1%,差异具有统计学意义(P<0.05)。观察组患者的并发症发生率为14.3%,明显低于对照组的42.9%,差异有统计学意义(P<0.05)。结论:在重型颅脑损伤病例的临床救治方案中,标准大骨瓣减压术能够将幕上坏死脑组织以及颅内血肿予以彻底清除,可实现充分减压,从而缓解脑干受压情况,有利于提高救治成功率并改善患者预后,值得予以推广。

Objective To analyze the standard large trauma craniotomy for treating severe traumatic brain injury clinical results. Method 42 cases of severe traumatic brain injury patients from were randomly divided into two groups,21 cases of each group. The control group received conventional craniotomy decompression treatment,the observation group received standard large trauma craniotomy treatment. Treatment effects and complications of the two groups were observed. Results The excellent rate of treatment of the observation group was 38. 1%,which was significantly better than 19. 1% of the control group,The difference was statistically significant（ P〈0. 05）. The observation group complications occurred was 14. 3%,which was significantly lower than the control group 42. 9%,the difference was statistically significant（ P〈0. 05）. Conclusion In clinical cases of severe traumatic brain injury treatment programs,the standard decompressive craniectomy can be necrotic brain tissue and intracranial hematoma on the screen to be completely removed,can achieve full decompression to relieve pressure on the brain stem,the help to improve the success rate of treatment and improve the prognosis of patients,it is worthy to be promoted.