摘要
目的探讨标准外伤大骨瓣开颅术在重型颅脑损伤治疗中的应用效果。方法选取2014年5月至2017年5月本院收治的60例重型颅脑损伤患者,以随机数表法将其分成观察组与对照组,每组30例。对照组接受常规去骨瓣开颅术,观察组接受标准外伤大骨瓣开颅术。对比两组治疗后临床疗效、并发症情况、神经缺损评分情况。结果观察组治疗后恢复良好率和存活率均明显高于对照组(P<0.05),并发症发生率明显低于对照组(P<0.05),神经功能缺损评分均明显低于对照组(P<0.05)。结论标准外伤大骨瓣开颅术在重型颅脑损伤治疗中的应用效果显著,值得临床推广。
Objective To investigate the effect of standard traumatic large craniotomy in the treatment of severe craniocerebral injury.Methods Sixty patients with severe craniocerebral injury admitted to our hospital from May2014to May2017were randomly divided into observation group and control group,30cases in each group.The control group received conventional debridement craniotomy,and the observation group received standard traumatic large craniotomy.The clinical efficacy,complications and neurological deficit scores of the two groups were compared.Results The recovery rate and survival rate of the observation group were significantly higher than those of the control group(P<0.05).The complication rate was significantly lower than that of the control group(P<0.05),and the neurological deficit scores were significantly lower than the control group(P<0.05).Conclusion The standard traumatic large craniotomy is effective in the treatment of severe craniocerebral injury and it is worthy of clinical promotion.
作者
张广宇
Zhang Guangyu(Department of Neurosurgery,Guanyun County People's Hospital,Lianyungang,Jiangsu,222200,China)
出处
《当代医学》
2018年第36期77-79,共3页
Contemporary Medicine
关键词
标准外伤大骨瓣开颅术
重型颅脑损伤
应用效果
致残率
Standard trauma large craniotomy
Severe craniocerebral injury
Application effect
Disability rate