摘要
目的比较2种不同手术方法治疗重型对冲性颅脑外伤的临床疗效及安全性。方法选取2016年12月—2017年8月于凉山彝族自治州第一人民医院治疗的82例重型对冲性颅脑外伤患者,按照入院先后分为试验组和对照组,每组41例。对照组给予单侧外伤大骨瓣减压窗手术治疗,试验组给予双侧骨瓣减压开颅术治疗。比较两组的临床疗效、并发症(脑积液、外伤性癫痫、迟发型血肿、脑切口疝)发生情况及术后1、3、7 d颅内压。结果试验组总有效率高于对照组(P<0.05)。试验组脑切口疝发生率低于对照组(P<0.05)。试验组术后1、3、7 d颅内压低于对照组(P<0.05)。结论双侧骨瓣减压开颅术治疗重型对冲性颅脑外伤的临床疗效显著,安全性更高。
Objective To Compare the efficacy and safety of two different surgical procedures for severe traumatic brain injuries.Methods 82 cases of severe countercoup brain trauma patients were selected in the First People's Hospital in Liangshan yi Autonomous Prefecture from December 2016 to August 2017,according to admission they were divided into experimental group and control group,with 41 cases in each group,the control group using unilateral big bone flap decompression the window operation for treatment,the experimental group used bilateral bone flap decompression craniotomy.The curative effect and occurrence of complications(hydrocephalus,traumatic epilepsy,delayed hematoma,cerebral incisional hernia)and the intracranial pressure of 1,3,7 d after operation.Results The total effective of experimental group was higher than the control group(P<0.05),while the occurrence of cerebral incisional hernia was lower than the control group(P<0.05).The intracranial pressure of 1,3 and 7 d in the experimental group was lower than that of the control group(P<0.05).Conclusion The clinical effect of bilateral craniotomy craniotomy in treatment of severe craniocerebral trauma hedge significantly higher safety.
作者
黎建华
LI Jian-hua(Neurosurgery,the First People's Hospital in Liangshan yi Autonomous Prefecture,Xichang 615000,China)
出处
《中国全科医学》
CAS
北大核心
2017年第B12期98-100,共3页
Chinese General Practice
关键词
颅脑损伤
对冲性损伤
外科手术
疗效比较研究
Craniocerebral trauma
Contrecoup injury
Surgical procedures,operative
Comparative effectiveness research
