摘要
目的:探讨外伤性多发性颅内血肿的手术治疗时机和手术方式。方法:选择我院治疗的外伤性多发性颅内血肿患者128例,随机分为观察组和对照组,对照组采用分期双侧开颅手术进行治疗,观察组采用一期双侧开颅手术进行治疗,观察两组近期治疗效果。结果:观察组良好率明显高于对照组;重残率和病死率明显低于对照组;两组治疗后GOS评分均较治疗前下降;观察组同对照组比较改善更为明显,经统计学分析比较;差异有统计学意义(P<0.05)。结论:采用一期双侧开颅手术治疗外伤性多发性颅内血肿近期疗效优于分期双侧开颅手术治疗,同时要积极对患者进行基础治疗,合理的选择手术的方式与时机,值得在临床使用。
Objective.. The surgical treatment of traumatic multiple intracranial hematoma timing and sur- gical procedure. Methods： choosed 128 cases of Multiple traumatic intracranial hematoma in our hospital,randomly divided into observation group and control group, control group adopts instalment bilateral surgical operation treat- ment, observation group USES the issue of bilateral surgical operation treatment, observed two groups of treatment effect in the near future. Result ：Good rate of observation group was obviously higher than that of control group, the heavy residue rate and the mortality were significantly lower than the control group^GOS score the two groups after treatment was decreased. Observation group compared to control group improved more obviously;after statistics a- nalysis and comparison, the difference was statistically significant （P〈0.05）. Conclusion： Using a bilateral surgical operation treatment of traumatic multiple intracranial hematoma in the near future curative effect is superior to the staging bilateral surgical operation treatment, at the same time to the treatment of patients on the basis of positive and reasonable selection of surgery way and the time, is worth popularizing in clinical use.
出处
《陕西医学杂志》
CAS
2013年第8期1021-1022,共2页
Shaanxi Medical Journal
