双侧开颅去骨瓣减压术应用于对冲性重型颅脑损伤患者中的疗效研究

The Effect of Bilateral Craniotomy Decompressive Craniectomy in Patients with Severe Traumatic Brain Injury

目的探讨双侧开颅去骨瓣减压术应用于对冲性重型颅脑损伤患者中的疗效。方法回顾性分析2014年10月至2017年10月我院60例对冲性重型颅脑损伤患者的临床资料,其中行双侧开颅去骨瓣减压术的30例患者作为研究组,行传统单侧颅内减压术的30例患者作为对照组。评估两组的预后效果,并对比两组术后并发症情况。结果研究组预后恢复良好的发生率50.00%高于对照组23.33%(P<0.05);研究组重度残疾的发生率0.00%低于对照组26.67%(P<0.05);两组植物生存、死亡发生率对比差异无统计学意义(P>0.05)。研究组术后并发症的发生率为6.67%,低于对照组26.67%(P<0.05)。结论双侧开颅去骨瓣减压术应用于对冲性重型颅脑损伤患者中疗效显著,适于临床推广。

Objective To investigate the efficacy of bilateral craniotomy for decompressive craniectomy in patients with severe traumatic brain injury.Methods The clinical data of 60 patients with severe traumatic brain injury in our hospital from October 2014 to October 2017 were retrospectively analyzed.Among them,30 patients undergoing bilateral craniotomy for decompressive craniectomy were included in the study group.The 30 patients with traditional unilateral intracranial decompression served as control group.The prognostic effect of the two groups was evaluated and the postoperative complications of the two groups were compared.Results The incidence of good recovery in the study group was 50.00%higher than that in the control group 23.33%(P<0.05);the incidence of severe disability in the study group was 0.00%lower than that in the control group 26.67%(P<0.05);There was no significant difference in the incidence of death(P>0.05).The incidence of postoperative complications in the study group was 6.67%,which was lower than the control group 26.67%(P<0.05).Conclusion Bilateral craniotomy for decompressive craniectomy is effective in the treatment of severe traumatic brain injury.It is suitable for clinical promotion.