颞肌部分切除在重型额颞顶部颅脑损伤患者治疗中的应用效果观察

Observation of application effect of partial excision of temporalis in treatment of patients with severe frontal and temporal craniocerebral injury

目的观察分析颞肌部分切除在临床中治疗重型额颞顶部颅脑损伤患者的效果。方法选择于2015年8月至2017年9月期间到本院接受治疗的88例重型额颞顶部颅脑损伤患者,根据手术方式分为对照组(n=44)与观察组(n=44),对照组实施标准去骨瓣减压术治疗,观察组实施颞肌部分切除联合标准外伤去大骨瓣减压术治疗,比较两组患者并发症发生情况以及术后颞肌厚度。结果经过不同手术方式治疗后,观察组并发症发生率(9.1%)明显低于对照组(27.3%),差异具有统计学意义(P<0.05)。观察组术后颞肌厚度明显低于对照组(P<0.05)。结论对于重型额颞顶部颅脑损伤患者,在临床中行颞肌部分切除联合标准外伤去大骨瓣减压术进行治疗,并发症发生几率低,手术效果可观,应当推广。

Objective To observe and analyze the effects of partial excision of temporalis in clinical treatment of patients with severe frontal and temporal craniocerebral injury.Methods 88 cases of patients with severe frontal and temporal craniocerebral injury and who received treatment in our hospital from August 2015 to September 2017 were selected,and were divided into control group(n=44)and observation group(n=44)according to operation methods.The control group were implemented the standard decompressive craniectomy,while the observation group were implemented the partial excision of temporalis combined with standard traumatic decompressive craniectmy.Then,the complications and thickness of temporal muscle of two groups of patients were compared.Results After different surgical treatments,the incidence of complications in the observation group was 9.1%,which was significantly lower than that in the control group of 27.3%(P<0.05).The thickness of temporal muscle after the operation in the observation group was significantly lower than that in the control group(P<0.05).Conclusion For the patients with severe frontal and temporal craniocerebral injury,the clinical of partial excision of temporalis combined with standard traumatic decompressive craniectmy,which the incidence of complications is low,and the operation effect is considerable,thus it should be promoted.