标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床分析

Clinical Analysis of Standard Large Trauma Craniotomy for Treating Severe Brain Injury

目的探析标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床效果。方法方便选取该院2001年1月—2005年12月收治的45例重型颅脑损伤患者,随机分为治疗组(23例)和对照组(22例),治疗组采取标准外伤大骨瓣开颅术治疗,对照组采取常规骨瓣开颅术治疗,比较两组疗效及神经功能缺损评分。结果治疗组良好率47.83%、存活率78.26%、并发症发生率17.39%与对照组比较差异有统计学意义(P<0.05);治疗组神经功能缺损评分(12.68±5.23)分与对照组比较差异有统计学意义(P<0.05)。结论标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床效果确切,优于常规骨瓣开颅术,值得推广。

Objective Analysis of standard large trauma craniotomy for treating severe brain injury clinical results. Methods Convenient selection our hospital in January 2001—December 2005 were treated 45 cases of severe traumatic brain injury were randomly divided into treatment group(23 cases) and control group(22 cases), the treatment group received standard large trauma craniotomy treatment, the control group received conventional craniotomy treatment, two groups were compared and neurological function. Results Good rate of 47.83% in treatment group, the survival rate of 78.26%, 17.39%complication rate difference compared with the control group(P <0.05); treatment group, neurological deficit scores(12.68±5.23) points difference compared with the control group(P<0.05). Conclusion Standard large trauma craniotomy for treating severe brain injury clinical exact effect, superior to conventional craniotomy, worthy of promotion.