预见性双侧平衡去骨瓣减压手术治疗重度颅脑损伤26例的效果分析
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摘要
目的对26例重度颅脑损伤患者应用去骨瓣减压手术的效果进行分析。方法将我院2017年1月至2019年2月收治的26例重度颅脑损伤患者作为本次研究对象,依据手术方式的不同,分为对照组与观察组,对照组9例采用单侧去骨瓣减压手术,观察组17例采用双侧去骨瓣减压手术,对比两组患者术后效果,并进行分析。结果两组患者在术后均表现出颅内压降低,但观察组患者的颅内压降低幅度大于对照组患者,具有统计学意义(P<0.05),并且观察组患者术后恢复效果好于对照组,并发症发生情况低于对照组(P<0.05)。结论预见性双侧平衡去骨瓣手术,治疗重度颅脑损伤疗效显著,能够大幅度改善患者颅内压,提高患者术后恢复效果,值得推广。
Objective To analyze the effect of decompressive craniectomy in 26 patients with severe head injury. Methods Twenty-six patients with severe head injury admitted to our hospital from January 2017 to February 2019 were included in the study.They were divided into control group and observation group according to different surgical methods. In the observation group, 17 patients underwent bilateral decompressive craniectomy, and the postoperative results were compared and analyzed. Results Both groups showed a decrease in intracranial pressure after surgery, but the decrease in intracranial pressure in the observation group was greater than that in the control group, which was statistically significant(P<0.05), and the recovery effect was good in the observation group. In the control group, the incidence of complications was lower than that of the control group(P<0.05). Conclusion Predictive bilateral balanced debridement surgery is effective in treating severe craniocerebral injury. It can greatly improve intracranial pressure and improve postoperative recovery. It is worth promoting.
Objective To analyze the effect of decompressive craniectomy in 26 patients with severe head injury. Methods Twenty-six patients with severe head injury admitted to our hospital from January 2017 to February 2019 were included in the study.They were divided into control group and observation group according to different surgical methods. In the observation group, 17 patients underwent bilateral decompressive craniectomy, and the postoperative results were compared and analyzed. Results Both groups showed a decrease in intracranial pressure after surgery, but the decrease in intracranial pressure in the observation group was greater than that in the control group, which was statistically significant(P<0.05), and the recovery effect was good in the observation group. In the control group, the incidence of complications was lower than that of the control group(P<0.05). Conclusion Predictive bilateral balanced debridement surgery is effective in treating severe craniocerebral injury. It can greatly improve intracranial pressure and improve postoperative recovery. It is worth promoting.
引文
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[14]罗淼熙,梁武全,张鹰,等.颅脑损伤去骨瓣减压术后并发硬膜下积液的临床诊疗分析[J].中国处方药,2018,16(11):11-12.
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[18]姜志峰.双侧标准外伤大骨瓣开颅手术治疗重型颅脑损伤的临床分析[J].临床研究,2018,26(6):146-147.
[2]孙国柱,孙博宇,王玉保.双侧均衡阶梯式减压策略在去骨瓣减压术治疗急性弥漫性脑肿胀重型颅脑损伤效果评价[J].脑与神经疾病杂志,2018,26(10):48-51.
[3]周骏.双侧去骨瓣减压术与传统单侧标准外伤大骨瓣手术治疗颅脑损伤的疗效对比[J].世界临床医学,2017,11(4):93-94.
[4]刘琦,田少斌,陈劲松.双侧去骨瓣减压术治疗32例急性颅脑损伤患者的临床疗效[J].中国临床研究,2018,31(4):514-517.
[5]王文福,纪德峰,王文福,等.双侧去骨瓣减压术治疗重型颅脑损伤的效果分析[J].中国实用医刊,2018,45(11):65.
[6]胡继良,胡深,陈东,等.一体式骨瓣双侧额颞部去骨瓣减压术治疗重型颅脑损伤的疗效观察[J].中华神经医学杂志,2018,17(3):254.
[7]杨一凡.用双侧去骨瓣减压开颅术治疗重型对冲性颅脑损伤的效果分析[J].当代医药论丛,2018,16(12):62-64.
[8]鲁武伟.双侧去骨瓣减压术治疗重型闭合性颅脑损伤的效果分析[J].河南医学研究,2018,27(19):122-123.
[9]张泽立,刘文明,张源,等.双侧去骨瓣减压术治疗幕上重型颅脑创伤的疗效[J].中华神经外科杂志,2017,33(7):673.
[10]韩志桐,张瑞剑,陈云照,等.颅内压联合脑血流监测在重度颅脑损伤患者标准去骨瓣减压术后的应用效果[J].中国医药导报,2018,15(23):58-61.
[11]王光明,韩彦武,张丽,等.去骨瓣减压手术在重度颅脑损伤中随机对照研究的现状与展望[J].中华神经创伤外科电子杂志,2017,3(3):172.
[12]熊力,林高钧,金玲江,等.重型颅脑损伤术中脑膨出分析及处理[J]中国医师杂志,2018,20(3):437.
[13]周斌.联合内外减压术治疗重度颅脑损伤合并脑疝的临床观察[J].临床医学研究与实践,2018,3(9):68-69.
[14]罗淼熙,梁武全,张鹰,等.颅脑损伤去骨瓣减压术后并发硬膜下积液的临床诊疗分析[J].中国处方药,2018,16(11):11-12.
[15]Dasenbrock HH,Liu KX,Chavakula V,et al.Body habitus,serum albumin and the outcomes after craniotomy for tumor:a National Surgical Quality Improvement Program analysis[J].Journal of Neurosurgery,2017,126(3):1.
[16]Wu Y,Kang J,Wang Q.Drug concentrations in the serum and cerebrospina fluid of patients treated with norvancomycin after craniotomy[J].European Journal of Clinical Microbiology&Infectious Diseases,2017,36(2):305-311.
[17]李浩.颅脑损伤去骨瓣减压术后患者早期行颅骨修补术治疗的临床效果分析[J].中国疗养医学,2018,27(12):61-63.
[18]姜志峰.双侧标准外伤大骨瓣开颅手术治疗重型颅脑损伤的临床分析[J].临床研究,2018,26(6):146-147.