大骨瓣开颅加天幕切开术治疗创伤性脑疝的效果分析

Clinical effect of big bone flap craniotomy plus tentorium resection in traumatic brain hernia

目的分析大骨瓣开颅加天幕切除术应用于创伤性脑疝的临床效果。方法选取河南大学附属郑州颐和医院2011-02—2015-02收治的74例创伤性脑疝患者,根据治疗方式不同分为2组,35例采取标准大骨瓣开颅术者为对照组,39例采取标准大骨瓣开颅术+天幕切除术者为观察组。比较2组预后、并发症发生率,并对比2组术后3d的环池显露情况。结果观察组的预后优于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05),观察组术后3d的环池显露率高于对照组(P<0.05)。结论在创伤性脑疝的治疗中应用大骨瓣开颅加天幕切开术治疗具有较好的治疗效果,且术后的并发症发生率和病死率低,值得临床推广应用。

Objective To analyze the clinical effect of big bone flap craniotomy plus tentorium resection on traumatic brain hernia.Methods 74 cases of traumatic cerebral hernia patients in our hospital from Feb,2011 to Feb,2015 were selected and divided into two groups,with 35 cases each.The control group were treated with standard standard large trauma craniotomy,and the observation group treated with big bone flap craniotomy tentorium resection.The prognosis and incidence of complications were compared between two groups,and the exposure ring pool 3 days after the surgery were also compared.Results Observation group had betterprognosis,lower complication rate and higher ring pool exposure rate in the third day than the control group（P0.05）.Conclusion The application of large bone flap craniotomy plus tentorium incision has a good therapeutic effect in the treatment of traumatic cerebral hernia treatment.This therapy has a lower rate of complications and mortality.It is worthy of clinical promotion.