标准大骨瓣减压术与常规去骨瓣减压术治疗重型颅脑损伤的效果比较

Effects of standard large trauma craniotomy and conventional decompressive craniectomy on severe craniocerebral injury

目的探讨标准大骨瓣减压术与常规去骨瓣减压术治疗重型颅脑损伤的优缺点,寻找最佳手术方法以提高重型颅脑损伤患者的生存率。方法选取我院实行开颅减压术的重型颅脑损伤患者69例,按照治疗方法分为试验组(n=35)和对照组(n=34),试验组患者行标准大骨瓣减压术,对照组患者行常规去骨瓣开颅术。比较两组患者的治疗效果及并发症发生情况。结果试验组评估总有效率为80.00%,高于对照组的52.94%(P<0.05);试验组的并发症总发生率为20.00%,与对照组的29.41%比较,差异无统计学意义(P>0.05)。结论标准大骨瓣减压术可明显提高重型颅脑损伤患者的术后生存率,减少术后并发症的发生,提高患者的生存质量,减轻患者家庭的负担,值得临床推广。

Objective To explore the advantages and disadvantages of standard large trauma craniotomy and conventional decompressive craniectomy on severe craniocerebral injury, and find the best surgical approach to improve the survival rate of patients with severe craniocerebral trauma. Methods Sixty-nine patients with severe craniocerebral trauma underwent craniotomy were selected and divided into experimental group （n=35） and control group （n=34）, the experimental group was treated with standard large trauma craniotomy, and the control group was treated with conventional decompressive craniectomy, the treatment effects and complications were compared in the two groups. Results The total effective rate was 80.00% in the experimental group, which was higher than 52.94% of the control group （P〈0.05）. The total complication rate was 20.00% in the experimental group and 29.40% in the control group, the difference was not statistically significant in the two groups （P〉0.05）. Conclusion Standard large trauma craniotomy can significantly improve the postoperative survival rate of patients with severe craniocerebral injury, it can reduce the incidence of postoperative complications, improve patients＇ quality of life and reduce the burden on patients, which is worthy of clinical promotion.