相继去骨瓣减压在重症颅脑外伤中的应用分析
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摘要
目的探讨相继去骨瓣减压在重症颅脑外伤中的临床应用价值。方法选择64例重型颅脑外伤患者分为观察组及对照组,观察组采用双侧相继去骨瓣减压术,对照组采用双侧同时去骨瓣减压术,比较两组临床治疗效果。结果观察组重度残疾的比率低于对照组(P<0.05),观察组发生硬膜下积液和术后再出血的比率低于对照组(P<0.05)。结论相继双侧去骨瓣减压术能较缓和的降低颅内压,避免了再次出血的和硬膜下积液,提高患者的手术效果。
Objective To investigate the clinical application effect of sequential decompressive craniectomy on severe craniocerebral injury. Methods Sixty-four cases of patients with severe craniocerebral injury were divided into observation group and control group, sequential decompressive craniectomy were taken in observation group and coinstantaneous decompressive craniectomy were taken in control group, clinical effect of two groups were compared. Results Incidence of severe disability in observation group was lower than control group (P < 0.05). Subdural effusion and postoperative re-bleeding rate in observation group was lower than control group (P < 0.05). Conclusion Sequential decompressive craniectomy could modified intracranial pressure on severe craniocerebral injury, avoid subdural effusion and postoperative hemorrhage, improve effect of operation.
Objective To investigate the clinical application effect of sequential decompressive craniectomy on severe craniocerebral injury. Methods Sixty-four cases of patients with severe craniocerebral injury were divided into observation group and control group, sequential decompressive craniectomy were taken in observation group and coinstantaneous decompressive craniectomy were taken in control group, clinical effect of two groups were compared. Results Incidence of severe disability in observation group was lower than control group (P < 0.05). Subdural effusion and postoperative re-bleeding rate in observation group was lower than control group (P < 0.05). Conclusion Sequential decompressive craniectomy could modified intracranial pressure on severe craniocerebral injury, avoid subdural effusion and postoperative hemorrhage, improve effect of operation.
引文
[1]许建新,孙玉平,许新强.双侧去骨瓣减压治疗特重型颅脑损伤38例[J].中华创伤杂志,2010,26(1):16-17.
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[6]吴晓翔.改良去骨瓣减压术治疗在颅脑损伤患者中的应用价值分析[J].中国医药导报,2011,8(34):170-171.
[2]李建亭,李天栋,白红民,等.双侧平衡去骨瓣减压术治疗重型闭合性颅脑损伤[J].中国临床神经外科杂志,2006,11(2):65-67.
[3]韩瑞璋,王伟明,张建忠.双侧大骨瓣减压术后硬膜下积液的治疗[J].中华神经外科杂志,2009,25(9):843-845.
[4]韦立煌.双侧标准大骨瓣减压治疗特重型颅脑损伤25例[J].广西医科大学学报,2009,26(4):631.
[5]惠磊,陈善成.双侧去骨瓣减压救治重型颅脑损伤[J].中国医师杂志,2004,6(8):1131-1132.
[6]吴晓翔.改良去骨瓣减压术治疗在颅脑损伤患者中的应用价值分析[J].中国医药导报,2011,8(34):170-171.