摘要
目的探讨标准大骨瓣开颅术(SLTC)治疗重型颅脑损伤(STBI)的临床疗效及其安全性。方法选取广元市第四人民医院2012年3月—2017年1月收治的STBI患者80例,按照患者治疗方式不同分为对照组与试验组,每组40例。对照组予以常规骨瓣开颅减压术治疗,试验组予以SLTC治疗,比较两组患者术前术后颅内压水平、神经功能缺损评分,临床疗效及并发症发生情况。结果术前,两组患者颅内压水平与神经功能缺损评分比较,差异无统计学意义(P>0.05);术后7d试验组患者术后颅内压水平低于对照组(P<0.05),术后4周试验组神经功能缺损评分低于对照组(P<0.05)。试验组患者存活率为85.00%,高于对照组的65.00%(P<0.05)。试验组患者并发症发生率为37.50%,低于对照组的67.50%(P<0.05)。结论 SLTC治疗STBI的临床疗效确切,可提高患者存活率,改善其颅内压水平及神经功能缺损程度,且安全性较高。
Objective To explore the curative effect and the safety of standard large trauma craniotomy(SLTC)in treating severe craniocerebral injury(STBI).Methods A total of80cases of SLTC patients were selected from March2012to January2017in Guangyuan Mental Health Center Four Hospital,which were divided into control group and experimental group according to different treatments.The control group was received conventional bone flap craniotomy decompression treatment,the experimental group was received SLTC.The intracranial pressure,neural function defect scale score before and after operation,clinical effect and the incidence of complications were compared between the two groups.Results Before operation,nosignificant differences of intracranial pressure or neural function defect scale score was found between the two groups(P>0.05);after7days of operation,the experimental group of intracranial pressure was lower than control group(P<0.05),after4weeks of operation,the experimental group of neural function defect scale score was lower than control group(P<0.05).The survival rate of experimental group was85.00%,which was higher than control group65.00%(P<0.05).The incidence rate of experimental group was37.50%,which was lower than control group67.50%(P<0.05).Conclusion SLTC has an exactly clinical effect in treating STBI,it can promote the survival rate of patients,improve the intracranial pressure and neural function defect scale,and with higher safety.
作者
王耿熙
郭锦
唐菠
WANG Geng-xi;GUO Jin;TANG Bo(Department of Neurosurgery,Guangyuan Mental Health Center Four Hospital,Guangyuan 628000,China)
出处
《实用心脑肺血管病杂志》
2017年第B12期20-22,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
颅脑损伤
标准大骨瓣开颅术
治疗结果
并发症
Craniocerebral trauma
Standard large trauma craniotomy
Treatment outcome
Complications
