双侧额大骨瓣减压术在重型颅脑外伤致难治性弥漫性脑肿胀患者中的应用

Application of bilateral frontal large bone flap decompression in patients with refractory diffuse brain swelling induced by severe craniocerebral trauma

目的分析在难治性弥漫性脑肿胀患者(由重型颅脑外伤致)中应用双侧额大骨瓣减压术治疗的临床疗效。方法选取本院2016年9月至2018年1月收治的74例难治性弥漫性脑肿胀患者分组观察,对照组33例予以常规保守治疗,研究组患者41例采取双侧额大骨瓣减压术治疗,观察治疗效果。结果两组患者治疗前颅内压水平、GOS评分以及治疗后并发症发生率等数据比较差异无统计学意义,研究组治疗后颅内压水平低于对照组,GOS评分高于对照组,差异有统计学意义(P<0.05)。结论双侧额大骨瓣减压术用于重型颅脑外伤致难治性弥漫性脑肿胀的治疗中,降压效果明显,具有推广价值。

Objective To analyze the clinical efficacy of bilateral fronto large bone flap decompression in the treatment of patients with refractory diffuse brain swelling(severe craniocerebral trauma).Methods A total of74patients with intractable diffuse brain swelling treated in our hospital from September2016to January2018were selected.The33patients in the control group were treated with routine conservative treatment.41patients in the study group were treated by bilateral large bone flap decompression,and the therapeutic effect was observed.Results Two groups of patients before the intracranial pressure level,GOS score after treatment and complications were analyzed statistically there was no difference,intracranial pressure levels in the study group than in the control group after treatment,GOS score higher than the control group,there was significant difference(P<0.05).Conclusion Bilateral frontal large bone flap decompression is used in the treatment of intractable diffuse brain swelling caused by severe craniocerebral trauma,and the effect of hypotension is obvious and has the value of promotion.