标准外伤大骨瓣开颅术治疗重型颅脑损伤的临床疗效

Clinical Efficacy of Standard Large Traumatic Bone Flap in the Treatment of Severe Craniocerebral Injury

目的研究对重型脑损伤患者实施标准外伤大骨瓣与常规骨瓣开颅术治疗的效果。方法选取2014年6月-2018年10月我科收治的90例重型脑损伤患者,随机分为对照组及试验组,各45例。对照组采用常规骨瓣开颅术治疗,试验组采用标准外伤大骨瓣开颅术治疗,对比两组患者治疗后临床效果、颅内压改善情况。结果试验组治疗后恢复良好率31.11%高于对照组(P<0.05),两组术前颅内压比较无显著差异(P> 0.05),试验组术后第1天、第3天及第5天颅内压低于对照组(P<0.05)。结论对重型脑损伤患者实施标准外伤大骨瓣开颅术治疗效果显著,能够迅速降低患者颅内压。

Objective To study the effect of standard large trauma craniotomy and conventional craniotomy for patients with severe brain injury. Methods Ninety patients with severe brain injury admitted to our department from June 2014 to October 2018 were randomly divided into control group and experimental group, 45 cases in each group. The control group was treated with conventional craniotomy, while experimental group was treated with standard large traumatic craniotomy. The clinical effect and intracranial pressure improvement were compared. Results Recovery rate of experimental group 31.11% was higher than control group(P < 0.05).There was no significant difference in preoperative intracranial pressure between the two groups(P > 0.05). The intracranial pressure of experimental group was lower than control group on the 1 st, 3 rd and 5 th day after operation(P < 0.05). Conclusion Standard large traumatic craniotomy is effective for severe brain injury patients and can rapidly reduce intracranial pressure.