标准去大骨瓣治疗颅脑外伤的临床疗效及安全性分析

Standard large craniectomy in the treatment of craniocerebral trauma:the clinical efficacy and safety analysis

目的探讨标准去大骨瓣治疗颅脑外伤的临床疗效及安全性分析。方法选取我院收治的60例颅脑外伤患者为研究对象,其中行标准去大骨瓣减压术患者30例(标准骨瓣组),行传统骨瓣减压术患者30例(传统骨瓣组),观察比较2组临床疗效及安全性。结果标准骨瓣组恢复良好率为53.33%,病死率为16.67%,传统骨瓣组恢复良好率为33.33%,病死率为36.68%,组间相比均具有显著差异(χ2=4.83,P<0.05;χ2=4.91,P<0.05)。标准骨瓣组并发症发生率为10.00%,传统骨瓣组术后并发症发生率为16.67%,组间相比差异显著(χ2=4.56,P<0.05)。结论标准去大骨瓣减压术治疗颅脑损伤的疗效明显优于传统骨瓣减压术,不良反应发生率较低,值得临床推广与应用。

Objective To explore the effect and safety of standard iarge craniectomy in the treatment of craniocerebral trauma. Methods Sixty cases with craniocerebral trauma treated in our hospital from August 2003 to August 2014 were select- ed, among whom 30 patients treated by standard large craniectomy were regarded as standard group and others receiving traditional skull flap decompression were considered as traditional group. Then the clinical curative effect and safety of the two groups were observed and compared. Results The good recovery rate was 53.33% and thc mortality rate was 16.67% in the standard group, which was 33.33% and 36.68~ in the traditional group, respectively, and the differences between the two groups were statistically significant different （X2= 4.83, P〈0.05; X2= 4.91, P〈0.05）. The complication rate of 10.00% in standard group was significantly lower than 16.67% in traditional group （x2= 4.56, P〈0.05）. Conclusion Standard large cranioectomy with less adverse events can exert a better curative effect than the traditional skull flap decompression, which is worth to be popularized and applied widely.