摘要
目的探讨重型颅脑损伤患者的手术治疗方法及其疗效。方法回顾性分析我院2001～2009年采用手术治疗的63例重度颅脑损伤患者的临床资料,并以同期采取内科保守治疗的63例患者为对照组,治疗组采取以大骨瓣减压、血肿清除术为主的综合治疗措施,对照组采取内科保守治疗,对比两组的疗效及预后。结果治疗组63例患者存活39例,其中恢复良好22例,中度残疾11例,重度残疾6例,死亡11例,明显优于对照组的治疗效果,差异具有显著性(P<0.05)。结论根据患者具体情况采取以手术治疗为主的综合治疗措施早期治疗,是提高重度颅脑损伤患者生存率、改善预后的关键。
Objective To study the method and effect of surgical treatment of the patients with severe craniocerebral injury. Methods The clinical data of 63 cases patients with severe craniocerebral injury who were treated with surgical treatment in our hospital from 2001 to 2009 were analyzed retrospectively. And the 63 cases patients with severe craniocerebral injury were the control group who were treated conservatively. The treatment group were treated with bone flap decompression and evacuation of hematoma, and the control group were treated conser- vatively. Then the efficacy and prognosis of the two groups were compared. Results The survival numbers of treatment group was 39 cases, which 22 cases had good recovery, 11 cases had moderate disability, 6 cases severe deficits and the other 11 cases died.The efficacy of treatment group were better than that of control group, there were significant differences （P〈0.05）. Conclusion The complex treatment measures Mainly wth surgical treatment according to the situation of patients is important for increasing survival rate of severe craniocerebral injury and improving prognosis.
出处
《中国现代医生》
2010年第17期127-128,共2页
China Modern Doctor
关键词
重度颅脑损伤
手术治疗
预后
Severe craniocerebral injury
Surgical treatment
Prognosis
