大骨瓣减压术在颅脑外伤治疗中的效果分析

Clinical Effect of Decompressive Craniectomy in the Treatment of Traumatic Brain Injury

目的探讨大骨瓣减压术应用在颅脑外伤治疗中的临床效果。方法选取201306-201604期间我们收治的100例颅脑外伤患者作为研究对象,随机分为实验组(50例)和对照组(50例)。对照组进行常规骨瓣开颅手术,实验组进行大骨瓣开颅减压手术,统计比较2组患者的治疗效果。结果实验组患者的死亡率(0.08%)与对照组的死亡率(0.2%)相比较低;同时,实验组患者的并发症发生率(28%)也低于对照组(54%)。结论应用大骨瓣减压术治疗颅脑损伤可以显著提升患者的存活率,降低并发症的发生率,该治疗方法效果显著、安全性高,值得在临床上进一步推广。

Objective To cdiscuss the clinical application effect of decompressive craniectomy in the treatment of traumatic braininjury. Methods 100 paticnts of traumatic brain injury in our hospital from 201306 to 201604 were selected for the research, whichwere randomly divided into experimental group（50 patients） and cntrol group（50 patients） The experimcntal group was given decom-pressive craniectomy, and the control group was given convcntional craniotomy. Results Both the death rate（0.08%） and the inci-dence of postoperative complications（28%） of experimental group were significantly lower than than of control group（0.2%, 54%）.Conclusions In the treatment of traumatic brain injury, decompressive craniectomy can significantly increase the survival ratc and de-crease the complication rate of patients, which possesses remarkable effect and high security and is worth promoting in the clinicaltreatment.