探讨硬脑膜网状切开在合并急性脑肿胀的脑外伤手术中的应用

To Explore the Application of Dural Netted Incision in the Operation of Craniocerebral Trauma with Acute Cerebral Swelling

目的对硬脑膜网状切开在合并急性脑肿胀脑外伤手术中的应用效果进行探讨。方法研究参与对象为30例合并急性脑肿胀的脑外伤手术患者,均为我院2014年7月份到2017年7月份收治。采用抽签法分成两组,对照组15例,实施大骨瓣切开手术;实验组15例,实施硬脑膜网状切开手术。观察两组患者的手术进展,予以记录、分析和比较。结果实验组的死亡率与对照组比较相对更低,实验组的存活率与对照组比较相对更高,数据显示P<0.05有统计学意义;实验组的残疾率与对照组比较相对更低,数据显示P<0.05有统计学意义。结论对合并急性脑肿胀的脑外伤手术患者实施硬脑膜网状切开手术,可有效降低患者的死亡率以及残疾率,有利于提高手术成功率以及患者存活率。

Objective To explore the effect of dural reticulation in the operation of combined acute cerebral edema. Methods The study of 30 patients with acute brain injury with acute brain swelling was admitted to our hospital from July 2014 to July 2017. The control group was divided into two groups, 15 cases in the control group, and the operation of large bone flap was performed. The experimental group 15 cases were performed with dura. The operative progress of the two groups was observed, and recorded, analyzed and compared. Results The mortality rate of the experimental group was relatively lower compared with the control group, and the survival rate of the experimental group was relatively higher than that in the control group, and the data showed that P<0.05 was statistically significant. The disability rate of the experimental group was relatively lower compared with the control group, and the data showed that P<0.05 was statistically significant. Conclusion The combination of acute brain swelling in patients with brain trauma surgery dura mesh incision surgery, which can effectively reduce the mortality and disability rates of patients to improve success rate of surgery and patient survival.