双侧标准外伤大骨瓣开颅术治疗重型颅脑损伤

Bilateral Standard Large Traumatic Craniotomy for Severe Craniocerebral Injury

目的探讨双侧标准外伤大骨瓣开颅手术治疗重型颅脑损伤的疗效。方法抽取40例重型颅脑损伤患者,抽取时间范围在2015年4月—2018年4月,按照入院时间,分为观察组、对照组,每组20例。观察组给予双侧标准外伤大骨瓣开颅手术治疗,对照组给予常规颞顶瓣开颅术,对比治疗效果。结果两组良好、植物生存以及死亡人数比较无意义(P>0.05);但观察组中残人数较高,且重残人数较低(P<0.05);术前两组颅内压比较无意义(P>0.05);术后不同时间点观察组颅内压均低于对照组(P<0.05)。结论双侧标准外伤大骨瓣开颅手术治疗重型颅脑损伤的疗效显著,可降低颅内压,改善预后,值得推广。

Objective To investigate the efficacy of bilateral standard traumatic large craniotomy for severe craniocerebral injury.Methods 40 patients with severe craniocerebral injury were selected from April 2015 to April 2018.According to the time of admission,the patients were divided into the observation group and the control group.20 patients in each group and the observation group were treated with bilateral standard traumatic large craniotomy,while the control group was treated with conventional temporo pharyngeal craniotomy.Results There was no significant difference between the two groups(P>0.05).However,the number of disabled people in the observation group was high,and the number of severely disabled people was low(P<0.05).Preoperative comparison of intracranial pressure between the two groups was insignificant(P>0.05).Intracranial pressure in the observation group at different time points was lower than that in the control group(P<0.05).Conclusion Bilateral standard large traumatic craniotomy is effective in the treatment of severe craniocerebral injury,which can reduce intracranial pressure and improve prognosis.