双侧去骨瓣减压术与传统单侧标准外伤大骨瓣开颅术对颅脑损伤的治疗效果分析

Analysis of the therapeutic effect of bilateral decompressive craniectomy and traditional unilateral standard large trauma craniotomy on craniocerebral injury

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摘要目的探讨双侧去骨瓣减压术(BDC)与传统单侧标准外伤大骨瓣开颅术(SLTC)对颅脑损伤的治疗效果。方法80例颅脑损伤患者,以等量随机电脑法分为A组和B组,每组40例。A组患者给予传统单侧SLTC治疗,B组患者给予BDC治疗。对比两组患者手术前后(术前、术后1 d、术后7 d)颅内压、临床疗效、并发症发生情况。结果术后1、7 d,两组患者颅内压均低于本组术前,且B组患者颅内压(24.38±2.31)、(15.45±1.79)mm Hg(1 mm Hg=0.133 kPa)低于A组的(29.84±3.27)、(20.87±2.54)mm Hg,差异均有统计学意义(P<0.05)。B组患者临床总有效率为92.50%,高于A组的75.00%,差异具有统计学意义(P<0.05)。B组患者并发症发生率为5.00%,低于A组的22.50%,差异具有统计学意义(P<0.05)。结论BDC治疗颅脑损伤的疗效要显著优于传统单侧SLTC,且安全性更高,有利于患者预后质量的改善与提升,值得临床推广应用。 Objective To discuss the therapeutic effect of bilateral decompressive craniectomy(BDC) and traditional unilateral standard large trauma craniotomy(SLTC)on craniocerebral injury.Methods A total of 80 cases of craniocerebral injury patients were divided into group A and group B by equal random computer method,with 40 cases in each group.Patients in group A were treated with traditional unilateral SLTC,and patients in group B were treated with BDC.The intracranial pressure before and after surgery(before surgery,1 d after surgery,and 7 d after surgery),clinical efficacy,and complications were compared between the two groups.Results 1 and 7 d after surgery,the intracranial pressure in the two groups was lower than that before surgery in this group;the intracranial pressure were(24.38±2.31)and(15.45±1.79)mm Hg(1 mm Hg=0.133 kPa)in group B,which were lower than(29.84±3.27)and(20.87±2.54)mm Hg in group A;all the differences were statistically significant(P<0.05).The total clinical effective rate in group B was 92.50%,which was higher than 75.00%in group A,and the difference was statistically significant(P<0.05).The complication rate in group B was 5.00%,which was lower than 22.50%in group A,and the difference was statistically significant(P<0.05).Conclusion The efficacy of BDC in the treatment of craniocerebral injury is significantly better than that of SLTC,and the safety is higher,which is conducive to the improvement and enhancement of patients’prognosis quality.It is worthy of clinical promotion and application.

作者谢锡忠黄文辉赵昌通 XIE Xi-zhong;HUANG Wen-hui;ZHAO Chang-tong(He Xian Memorial Hospital of Panyu District,Guangzhou 511400,China)

机构地区广州市番禺区何贤纪念医院

出处《中国实用医药》 2022年第9期28-30,共3页 China Practical Medicine

关键词双侧去骨瓣减压术传统单侧标准外伤大骨瓣开颅术颅脑损伤安全性疗效 Bilateral decompressive craniectomy Traditional unilateral standard large trauma craniotomy Craniocerebral injury Safety Efficacy

分类号 R651.15 [医药卫生—外科学]