摘要
目的探讨逐步控制性减压手术方式治疗重型、特重型颅脑创伤的疗效。方法本组285例重型、特重型颅脑创伤需行减压手术的患者中，A组160例采用逐步控制性减压手术，B组125例采用常规大骨瓣减压手术。结果两组患者术中急性脑膨出、迟发颅内血肿、术后骨窗脑组织嵌顿、脑移位、脑干变形扭曲、大面积脑梗死的发生率以及GOS标准预后评估差异均有统计学意义（P〈0．05）。结论采用逐步控制性减压手术能有效减少重型、特重型颅脑创伤患者术中及术后并发症，降低伤残率及死亡率，是一种有效的手术方法。
Objective To investigate the effects of gradually controlled decompression and standard large craniotomy for treatment of severe craniocerebral injury. Method Among 285 severe craniocerebral injury cases, 160（ A group） underwent gradually controlled decompression and 125 （B group） underwent decompression of routine standard large craniotomy. Results The incidences of acute intraoperative encephalocele, delayed intracranial hematoma, brain tissue embedded, brain shift, brain stem distorted, large - area cerebral infarction and GOS score of two groups were significantly different （ P 〈 0. 05 ） . Conclusions The gradually controlled decompression could decrease intraoperative and postoperative complications, disability rate and mortality of severe craniocerebral injury patients.
出处
《中华神经外科杂志》
CSCD
北大核心
2011年第11期1154-1156,共3页
Chinese Journal of Neurosurgery
关键词
颅脑损伤
神经外科手术
脑膨出
迟发颅内血肿
Craniocerebral trauma
Neurosurgical procedures
Encephalocele
Delayed hematoma
