外伤性多发性颅内血肿患者的手术方案研究

Research on operative schemes about patients with Traumatic multiple intracranial hematoma

目的探讨标准外伤大骨瓣减压术(STC)在外伤性多发性颅内血肿(TMIH)治疗中的价值。方法 2012年3月至2015年10月该院收治的TMIH患者97例,其中47例患者为观察组,采用STC开颅术;另外50例患者为对照组,使用常规骨瓣开颅术。结果观察组患者的病死率(14.89%)显著低于对照组(24.00%),恢复良好率(48.94%)显著高于对照组(42.00%),差异有统计学意义(P<0.05)。2组患者的并发症比较,差异无统计学意义(P>0.05)。结论 STC是治疗TMIH的有效方法,在降低颅压、充分止血、清除颅内血肿方面具有优势,极大地提高了TMIH的治愈率。

Objective To explore the value of standard trauma craniectony（STC）in the treatment of Traumatic multiple intracranial hematoma（TMIH）.Methods Retrospectively analyzed from March 2012 to October 2015 in our hospital treated 97 cases of traumatic multiple intracranial hematoma patients,47 cases with standard trauma craniotomy（observation group）and another 50 cases with normal bone flap craniotomy（control group）.Results Mortality of observation group of（14.89%）was significantly lower than the control group（24.00%）,recovery rate of observation group（48.94%）was significantly higher than the control group（42.00%）,the difference was statistically significant（P〈0.05）.Complications of two groups compared with no significant difference（P〉0.05）.Conclusion Standard trauma craniotomy is a main measure to treat Traumatic multiple intracranial hematoma,which can decrease pressure in brain effectively,remove the intracranial hematoma and necrotic brain tissue completely,improve the therapeutic effects.