标准外伤大骨瓣开颅减压术治疗重型颅脑损伤的临床研究

Clinical Study of Standard Large Trauma Craniotomy for Severe Traumatic Brain Injury

目的探讨标准外伤大骨瓣开颅减压术治疗重型颅脑损伤的临床效果。方法选取2010年1月-2016年12月我院收治的60例重型颅脑损伤患者作为研究对象,将其随机分为标准组和常规组,每组各30例。标准组采用标准外伤大骨瓣开颅减压术进行治疗,常规组采用传统骨瓣开颅减压术进行治疗。将两组的治疗效果进行对比。结果标准组并发症的发生率为13.3%,常规组为40.0%,两组数据对比,差异具有统计学意义(P<0.05);术后6个月,标准组的恢复良好率为46.7%,存活率为80.0%;常规组的恢复良好率为20.0%,存活率为53.3%,其差异具有统计学意义(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疗效良好,并发症少。

Objective To explore the clinical effect of standard traumatic large craniotomy for craniocerebral decompression in the treatment of severe craniocerebral injury. Methods 60 cases of patients with severe traumatic brain injury admitted to our hospital from January 2010 to December 2016 were divided into standard group and conventional group, 30 patients in each group. The standard group was treated with standard traumatic large craniotomy and craniotomy with decompression. The conventional group was treated by traditional craniotomy. The therapeutic effects of the two groups were compared. Results The incidence of complications was 13.3% in the standard group and 40.0% in the conventional group（P〈0.05）. The recovery rate was 46.7% and the survival rate was 80.0% in the standard group at 6 months. The good rate of recovery was 20.0% and the survival rate was 53.3% in the conventional group. The difference was statistically significant（P〈0.05）. ConclusionStandard craniotomy with traumatic large craniotomy is effective and safe in the treatment of severe craniocerebral injury.