摘要
目的探讨不同骨瓣减压治疗重度颅脑损伤并外伤性脑梗死的临床效果。方法将63例重度颅脑损伤并外伤性脑梗死患者随机分为治疗组(31例)和对照组(32例),治疗组采用标准外伤骨瓣开颅减压术治疗,对照组采用常规骨瓣手术治疗。随访6个月后采用格拉斯哥昏迷评分(GCS)评价临床疗效。结果治疗组治疗有效率为54.8%,对照组治疗有效率为15.6%,两组比较有显著性差异(P<0.01),治疗组的有效率较高。治疗组并发症发生率为22.6%,略低于对照组的28.1%,但两组比较差异无统计学意义(P>0.05)。结论采用标准大骨瓣减压术治疗重度颅脑损伤并外伤性脑梗死可以提高临床疗效,值得临床推广应用。
Objective To explore clinical effects of different decompressive craniectomy treatment on severe craniocerebral injury with post-traumatic cerebral infarction.Methods 63 cases of severe craniocerebral injury patients with post-traumatic cerebral infarction were randomly divided into 2 groups,the treatment group（31 cases）and the control group（32 cases）.The treatment group received standard traumatic decompressive craniectomy treatment,while the control group received routine craniectomy treatment.Follow-up visits were carried out and Glasgow coma score（GCS）was used to evaluate clinical effects after 6 months.Results The clinical effective percentage of the treatment group was 54.8%,which was considerably higher than that of the control group（15.6%）.There was significant difference between two groups（P〈0.05）.The postoperative complications incidence of the treatment group was 22.6%,which was lower than that of the control group（28.1%）,but the result of both groups had no statistical significance（P〉0.05）.Conclusion Standard decompressive craniectomy treatment has better clinical effects on severe craniocerebral injury with post-traumatic cerebral infarction,and deserves clinical popularization and application.
出处
《右江医学》
2010年第4期393-395,共3页
Chinese Youjiang Medical Journal
关键词
颅脑损伤
脑梗死
标准大骨瓣减压
外科治疗
craniocerebral injury
cerebral infarction
standard decompressive craniectomy
surgical treatment
