中国医学前沿杂志（电子版）2017，Vol.9Issue(5)：51-54,4.DOI:10.12037/YXQY.2017.05-10
不同术式治疗外伤性急性脑肿胀的临床效果对比研究
Comparative study of effects on different operative methods in the treatment of traumatic acute brain swelling
摘要
Abstract
Objective To compare the effect of bilateral frontal-temporal symmetrically modified decompressive craniectomy and the bilateral standard big bone craniectomy in the treatment of traumatic acute brain swelling. Method 103 cases of traumatic acute brain swelling patients treated in our hospital from January 2012 to October 2016 were seleted as research objects, they were randomly divided into two groups, observation group patients (n = 52) were treated with bilateral frontal-temporal symmetrically modified decompressive craniectomy, control group patients (n = 51) were treated with bilateral standard big bone craniectomy. Operation time, intraoperative blood loss, the rate of encephalocele, bone window area, postoperative complications, postoperative basal cistern scores and postoperative Glasgow outcome scale (GOS) scores were compared between the two groups. Result Operation time in observation group was significantly shorter than that in control group (P < 0.05), blood loss in observation group was significantly less than that in control group (P < 0.05), and bone window area in observation group was significantly larger than that in control group (P < 0.05). The rate of encephalocele in observation group was lower than that in control group, but there was no significant difference (P > 0.05). There were no significant differences in postoperative basal cistern scores and different levels of GOS scores between the two groups (P > 0.05). Both groups had complications, subdural effusion and infection were mainly complications of observation group, and the total incidence of complication was 15.38%, encephalocele, subdural effusion, hydrocephalus, infection and skull defect syndrome were mainly complications of control group, and the total incidence of complication was 33.33%. The total incidence of complications in observation group was significantly lower than that in control group (P < 0.05). Conclusion Compared with bilateral standard big bone craniectomy, the bilateral frontal-temporal symmetrically modified decompressive craniectomy is faster, with less trauma and lower incidence of postoperative complications, which is more suitable for surgical treatment of traumatic patients with acute brain swelling.关键词
急性脑肿胀/双侧额颞平衡改良大骨瓣减压术/双侧标准大骨瓣开颅术Key words
Acute brain swelling/Bilateral frontal-temporal symmetrically modified decompressive craniectomy/Bilateral standard big bone craniectomy引用本文复制引用
戴清波,郑文明,陈鸿尤..不同术式治疗外伤性急性脑肿胀的临床效果对比研究[J].中国医学前沿杂志（电子版）,2017,9(5):51-54,4.基金项目
海南省卫生厅资助项目(2014YW10) （2014YW10）
