摘要
目的探讨不同手术方法治疗重型对冲性颅脑外伤的疗效。方法将62例重型对冲性颅脑外伤患者随机分为治疗组和对照组,每组31例。治疗组采用双侧去骨瓣减压开颅术,对照组采用常规单侧外伤大骨瓣减压窗手术。观察2组患者术后情况,记录术后1、3、5d颅内压情况,术后随访3个月并评价临床疗效。结果治疗组术后1、3、5d颅内压[(21.33±2.95)、(18.62±2.65)、(16.56±2.35)mmHg]均显著低于对照组[(32.66±3.23)、(29.19±3.11)、(27.72±2.89)mmHg](均为P<0.05);治疗组临床治疗有效率为54.8%(17/31),显著高于对照组的25.8%(8/31)(P<0.05)。结论双侧去骨瓣减压开颅术治疗重型对冲性颅脑外伤疗效明显优于常规单侧外伤骨瓣减压窗手术,患者预后良好,值得临床推广应用。
Objective To investigate the clinical efficacy of different operation methods in the treatment of severe traumatic brain injury. Methods Totally 66 patients with severe traumatic brain injury were divided into treatment group and control group by random digits table method, and 31 cases in each group. The treatment group was treated with bilateral decompress craniotomy, while the control group was treated with traditional unilateral craniotomy. The pressure on the 1st, 3rd, and 5th day post-operation was observed and recorded. The patients were followed up for 90 days to evaluate the clinical efficacy. Re- suits Theintracranial pressure on the 1st, 3rd, and 5th day in treatment group was （21. 33±2.95） mmHg, （18. 62±2.65） mmHg, and （16.56 ± 2.35） mmHg, respectively, which was significantly lower than that of control group （32.66 ±3.23, 29. 19±3.11 and 27. 72±.89, respectively, all P〈0.05）. The clinical efficacy of treatment group was significantly higher than that of control group （54.8% （17/31） vs. 25.8% （8/31）, P〈0. 05）. Conclusion Compared with traditional unilateral craniotomy, bilateral decompress craniotomy shows better prognosis. It is worthy of clinical application.
出处
《中国实用神经疾病杂志》
2013年第9期31-33,共3页
Chinese Journal of Practical Nervous Diseases
