摘要
目的探讨急性重度颅脑损伤患者术中应用阶梯式减压技术的疗效.方法2014年1 2月-2017年12月,我院行标准大骨瓣减压术的重型颅脑损伤患者356例,依据术中有无采用阶梯式减压技术,随机分成两组:阶梯式减压组(n=187),传统减压组(n=169),观察两组患者的围手术期并发症发生率及术后6个月时GOS评分并行统计分析.结果阶梯式减压组急性脑膨出以及迟发性血肿的发生率低于传统减压组(P<0.05);阶梯式减压组术后6个月时预后好于传统减压组(P<0.05).结论重型颅脑损伤患者术中采用阶梯式减压技术能够降低围术期并发症的发生,并能改善患者预后.
Objective To examine the efficacy of stepwise intracranial decompression in the treatment of acute severe brain injury.Methods A total of 356 patients with acute severe brain injury who underwent standard large decompressive craniectomy from Decernber 2014 to December 2017 were randomly divided into stepwise intracranial decompression group(n=187)and traditional decompression group(n=169).The incidence rate of perioperative complications and Glasgow Outcome Score(GOS)were compared between the two groups.Results The stepwise intracranial decompression group had significantly lower incidence rates of acute encephalocele and delayed hematoma and a significantly higher GOS at 6 months after surgery than the traditional decompression group(all P<0.05).Conclusions Stepwise intracranial decompression reduces the incidence of perioperative complications and improves the prognosis of patients with acute severe brain injury.
作者
符招泉
陈伟明
夏鹰
FU Zhao-Quan;CHEN Wei-Ming;XIA Ying(Department of the Third Surgery,Changjiang County People zs Hospital,Changjiang 572700,China;Department of the Neurosurgery,Haikou Peoples Hospital,Haikou 570208,China)
出处
《国际神经病学神经外科学杂志》
2019年第3期251-253,共3页
Journal of International Neurology and Neurosurgery
基金
海南省卫生计生行业科研项目资助(No:2018-105)
关键词
重型颅脑损伤
标准大骨瓣减压术
阶梯式减压技术
术后并发症
临床疗效
Severe brain injury
Standard large decompressive craniectomy
Stepwise intracranial decompression
Postoperative complication
Clinical efficacy
