摘要
目的对比采用不同手术入路治疗双侧额叶脑挫裂伤伴颅内血肿的临床效果。方法选择我院治疗双侧额叶脑挫裂伤伴颅内血肿的患者86例,随机分成双侧组和单侧组,每组43例。双侧组术中采用双侧入路手术治疗,单侧组采用单侧入路手术治疗,观察两组患者的治疗效果。结果单侧组手术时间短于双侧组,输血量少于双侧组,精神障碍发生率和嗅神经损伤率低于双侧组,差异具有统计学意义(P<0.05)。结论对双侧额叶脑挫裂伤伴颅内血肿患者采用单侧入路开颅手术治疗效果较好,能有效的缩短手术时间、减少输血量,降低精神障碍发生率。
Objective To compare the effect of different approaches for bilateral frontal brain contusion and intracranial hematoma. Methods Selected 86 patients with bilateral frontal brain contusion and intracranial hematoma in our hospital and randomly divided into bilateral group and unilateral group, 43 cases in each group. Bilateral group received bilateral approach of surgical treatment, unilateral group received unilateral approach of surgical treatment, the treatment effect in two groups was observed. Results In unilateral group, the operative time, blood transfusion, the incidence of mental disorders and the olfactory nerve injury were significantly shorter than the bilateral group, the differences were statistically significant（P0.05）. Conclusion For patients with bilateral frontal brain contusion and intracranial hematoma, unilateral approach of surgical can effectively shorten the operation time, reduce blood volume, reduce the incidence of mental disorders.
出处
《中国继续医学教育》
2016年第8期113-114,共2页
China Continuing Medical Education
关键词
双侧额叶脑挫裂伤
颅内血肿
不同手术入路
Bilateral frontal brain contusion
Intracranial hematoma
Different approaches
