摘要
目的分析标准外伤大骨瓣开颅手术治疗颅脑损伤合并恶性颅内高压患者的效果。方法 76例颅脑损伤合并恶性颅内高压患者,按照治疗方法不同分为对照组及研究组,各38例。对照组实施常规骨瓣开颅术治疗,研究组实施标准外伤大骨瓣开颅手术治疗。对比两组患者的治疗效果、颅内压水平和并发症发生情况。结果研究组患者并发症发生率为2.6%,对照组并发症发生率为21.1%,对比差异具有统计学意义(P<0.05)。手术前,两组患者颅内压水平对比,差异无统计学意义(P>0.05);手术后1周,两组患者颅内压水平优于手术前,且研究组患者颅内压水平优于对照组,差异具有统计学意义(P<0.05)。研究组患者治疗总有效率为94.7%,对照组患者治疗总有效率为78.9%,对比差异具有统计学意义(P<0.05)。结论在颅脑损伤合并恶性颅内高压治疗中应用标准外伤大骨瓣开颅手术治疗,提升了手术治疗效果,能够确保手术血肿的清除效果,并发症发生率较低,可在临床中大力借鉴使用。
Objective To analyze the effect of standard large trauma craniotomy for the treatment of patients with craniocerebral injury complicated with malignant intracranial hypertension. Methods A total of 76 patients with craniocerebral injury complicated with malignant intracranial hypertension were divided by different treatment method into control group and research group, with 38 cases in each group. The control group received conventional craniotomy for treatment, and the research group received standard large trauma craniotomy for treatment. Comparison were made on treatment effect, intracranial pressure level and occurrence of complications between the two groups. Results The research group had incidence of complications as 2.6%, which was 21.1% in the control group, and the difference was statistically significant（P〈0.05）. Before operation, there was no statistically significant difference in intracranial pressure level（P〈0.05）. At 1 week after operation, both groups had better intracranial pressure level than those before operation, and the research group had better intracranial pressure level than the control group. Their difference was statistically significant（P〈0.05）. The research group had total treatment effective rate as 94.7%, which was 78.9% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Application of standard large trauma craniotomy can improve the surgical treatment effect in the treatment of craniocerebral injury complicated with malignant intracranial hypertension, and it also can ensure clearance of surgical hematoma with lower incidence of complications. So this method can be used for reference in clinical practice.
作者
郁明惠
刘燕飞
侯红波
李新
YU Ming-hui;LIU Yan-fei;HOU Hong-bo(Department ofNeurosurgery,Suzhou Integrated Traditional Chinese and Western Medicine Hospital,Suzhou 215101,China)
出处
《中国实用医药》
2018年第32期11-13,共3页
China Practical Medicine
关键词
标准外伤大骨瓣开颅手术
颅脑损伤
恶性颅内高压
Standard large trauma craniotomy
Craniocerebral injury
Malignant intracranial hypertension
