临床神经外科杂志Issue(6)：470-472,3.DOI:10.3969/j.issn.1672-7770.2014.06.022
预见性与相继性双侧去骨瓣减压治疗重型颅脑损伤疗效的差异
Clinical features and surgical treatment of traumatic intracerebral hemorrhage
徐勇 1林爱明 1刘佳骐 1鲁虎臣 2马骏2
作者信息
- 1. 212200 扬中市人民医院脑外科
- 2. 南京医科大学附属脑科医院神经外科
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy between the active bilateral decompressive craniectomy and successively bilateral decompression craniectomy ( BDC ) in the treatment of severe craniocerebral injury, to provide reference for optimizing clinical therapeutic regimen.Methods 121 patients with severe craniocerebral injury were selected and randomly divided into the observation group and the control group, patients in observation group were treated with active BDC,and patients in control group were treated with successively BDC.All the patients got the almost same therapeutic methods after operations.The Glasgow outcome score( GOS) of all patients in both groups was evaluated 3 months after treatment, the occurrence rate of intraoperative acute brain tissue bulging and postoperative incision hernia between the two groups were compared.GOS scores and complication were observed. Results After treatment,incidence of acute intraoperative encephalocele and incidence of postoperative incisional hernia of observation group patients were significantly lower than those of control group, the differences were statistically significant(P<0.05).GOS good rate of observation group was significantly higher than that of control group,the death rate of observation group was significantly lower than that of control group, the differences were statistically significant(P <0.05).The differences of moderate disability rate,severe disability rate,vegetative survival rate of observation group and control group were not statistically significant(P >0.05).Complication occurrence rate of observation group was lower than that of control group, the differences were statistically significant(P<0.05).Conclusion The active bilateral decompressive craniectomy in the treatment of severe craniocerebral injurycan effectively improve the prognosis of patients, and reduce the incidence of postoperative complications.And it is worthy to recommand its clinical application.关键词
重型颅脑损伤/双侧去骨瓣减压/手术治疗Key words
severe craniocerebral injury/bilateral decompression craniectomy/operation分类
医药卫生引用本文复制引用
徐勇,林爱明,刘佳骐,鲁虎臣,马骏..预见性与相继性双侧去骨瓣减压治疗重型颅脑损伤疗效的差异[J].临床神经外科杂志,2014,(6):470-472,3.
