摘要
[目的]评价改良外伤大骨瓣开颅减压术治疗重型颅脑创伤的效果。[方法]81例重型颅脑创伤患者随机分为两组:改良外伤大骨瓣组39例,常规骨瓣组42例,术后治疗方案基本相同。术后7 d根据Gcs评分进行疗效判断。术后3个月临床随访进行格拉斯哥预后改良(GOS)评定。[结果]治疗组中,恢复良好与中残16例、重残9例、植物状态2例、死亡12例。对照组中,恢复良好与中残8例、重残10例、植物状态2例、死亡22例。两组术后7 d GCS计分有显著性差异(P<0.05),两组恢复良好与中残率有显著性差异(P0.05),病死率也有显著性差异(P<O.05)。[结论]改良外伤大骨瓣开颅减压具有显露充分、操作方便、减压彻底等优点,可显著提高重型颅脑创伤的治疗效果。
[Objective] To evaluate the effect of craniotomy with improved large flap resection in treating severe traumatic brain injury. [Methods] 81 cases of severe traumatic brain injury were randomly divided into two groups： 39 cases were improved craniotomy with large flap resection group （treatment group） and 42 eases were routine eraniotomy group （control group）. All the patients got the same therapeutic methods after operations. GCS scores were assessed 7 d after operation. GOS was evaluated at 6 month follow-up. [Results] The GOS of the treatment group was 16 cases with good recovery and moderate disability, 9 severe disability, 2 vegetative state and 12 death. The GOS of the control group was 8 cases with good recovery and moderate disability, 10 severe disability, 2 vegetative state and 22 death. [Conclusion] The application of improved large trauma craniotomy in treatment of severe head injury have the advantages of exposure plenitude, operation convenience, decreased intracranial pressure to increase the cure rate of severe head injury patients.
出处
《武警医学院学报》
CAS
2006年第6期557-559,共3页
Acta Academiae Medicinae CPAPF
关键词
颅脑创伤
脑损伤
改良外伤大骨瓣开颅减压术
Traumatic brain injury
Brain injuries
Improved craniotomy with large flap resection
