预见性双侧平衡去骨瓣减压法治疗重型颅脑损伤的效果探讨

A study on predictive bilateral balance of bone flap decompression in the treatment of patients with severe craniocerebral injury

目的:探讨预见性双侧平衡去骨瓣减压法治疗重型颅脑损伤的临床疗效。方法:收治重型颅脑损伤患者80例,随机平分成两组,观察组实施预见性双侧平衡去骨瓣减压治疗,对照组实施单侧标准外伤大骨瓣减压治疗,观察两组治疗效果。结果:经治疗后,观察组患者的颅内压、死亡率、手术中急性脑膨出发生率、手术治疗后切口疝发生率以及并发症发生率明显低于对照组,P<0.05,差异有统计学意义。结论:对重型颅脑损伤患者实施预见性双侧平衡去骨瓣减压治疗,能够有效控制患者的颅内压,降低患者的死亡率,效果显著。

Objective:To investigate the clinical effect predictive bilateral balance of bone flap decompression in the treatment ofpatients with severe craniocerebral injury.Methods:80 patients with severe craniocerebral injury were selected,they were randomlydivided into the two groups on average.Patients in the observation group received the treatment of predictive bilateral balance ofbone flap decompression.Patients in the control group were treated with unilateral standard trauma and large bone flap decompression.We observed the treatment effect of the two groups.Results:After the treatment,the intracranial pressure,mortality and theincidence rate of acute encephalocele in the operation,incisional hernia occurrence rate after surgical treatment and complicationrate of patients in the observation group were significantly lower than those of the control group.The differences were statisticallysignificant,P<0.05.Conclusion:For severe craniocerebral injury patients with the implementation of predictive bilateral balanceof bone flap decompression treatment,can effectively control the patients' intracranial pressure,reduce the mortality of patients,theeffect is significant.