改良标准外伤大骨瓣开颅手术治疗重型颅脑外伤的临床效果

Clinical effect of modified standard large trauma craniotomy in the treatment of severe craniocerebral trauma

目的观察改良标准外伤大骨瓣开颅手术治疗重型颅脑外伤的临床效果。方法选择2019年1月至2019年12月收治的54例重型颅脑外伤患者为研究对象。根据手术方法的不同将患者分为对照组(24例)和观察组(30例)。对照组采用标准外伤大骨瓣开颅手术治疗,观察组采用改良标准外伤大骨瓣开颅手术治疗。比较两组术后日颅内压降低幅度、日GCS评分升高幅度、骨瓣浮出时间、骨瓣复位时间、骨瓣愈合时间及并发症发生情况。结果观察组术后日颅内压降低幅度、日GCS评分升高幅度均大于对照组,差异具有统计学意义(P<0.05)。观察组术后骨瓣浮出时间、骨瓣复位时间均短于对照组(P<0.05);两组骨瓣愈合时间比较,差异无统计学意义(P>0.05)。观察组的并发症总发生率明显低于对照组(P<0.05)。结论采用改良标准外伤大骨瓣开颅手术治疗重型颅脑外伤患者,可降低并发症发生率,促进患者术后康复。

Objective To observe the clinical effect of modified standard large trauma craniotomy in the treatment of severe craniocerebral trauma.Methods Fifty-four patients with severe craniocerebral trauma enrolled from January 2019 to December 2019 were selected as the research objects.According to the different surgical methods,the patients were divided into control group(24 cases)and observation group(30 cases).The control group was treated with standard large trauma craniotomy,and the observation group was treated with modified standard large trauma craniotomy.The reduction range of daily intracranial pressure,the increase range of daily GCS score,the time of bone flap floating,reduction,healing and the occurrence of complications were compared between the two groups.Results The decrease of intracranial pressure and the increase of daily GCS score in the observation group were greater than those in the control group,and the differences were statistically significant(P<0.05).The time of bone flap floating and reduction in the observation group were shorter than those in the control group(P<0.05),but there was no significant difference in the time of bone flap healing between the two groups(P>0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The modified standard large trauma craniotomy for patients with severe craniocerebral trauma can reduce the incidence of complications and promote the recovery of patients.