首页|标准去大骨瓣开颅减压术治疗重型颅脑损伤的临床研究

标准去大骨瓣开颅减压术治疗重型颅脑损伤的临床研究

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目的 分析常规骨瓣开颅术以及标准去大骨瓣开颅减压术治疗重型颅脑损伤的效果和安全性.方法 选择我院2020年1月至2023年12月实施标准去大骨瓣开颅减压术的重型颅脑损伤病人共140例为观察组,同期实施常规骨瓣开颅术的重型颅脑损伤病人共140例为对照组,比较两组的疗效、颅内压、并发症.结果 观察组的手术总有效率为97.1%,显著高于对照组的80.0%(P<0.05).术后第1、5、7天,观察组的颅内压均显著低于对照组(P<0.001).观察组的并发症发生率为11.4%,显著低于对照组的28.6%(P<0.05).结论 标准去大骨瓣开颅减压术治疗重型颅脑损伤的效果显著,能有效降低颅内压,且安全性较高.
Clinical Study of Standard Large Bone Flap Craniotomy Decompression in the Treatment of Severe Craniocerebral Injury
Objective To analyze the effects and safety of conventional bone flap craniotomy and standard large bone flap craniotomy decompression in the treatment of severe craniocerebral injury.Methods 140 patients with severe craniocerebral injury who underwent standard large bone flap craniotomy decompression in our hospital from January 2020 to December 2023 were selected as the observation group,and 140 patients with severe craniocerebral injury who underwent conventional bone flap craniotomy during the same period were selected as the control group.The efficacy,intracranial pressure and complications were compared between the two groups.Results The total effective rate of surgery in the observation group was 97.1%,significantly higher than 80.0%in the control group(P<0.05).On the 1st,5th and 7th day after surgery,the intracranial pressures of the observation group were significantly lower than those of the control group(P<0.001).The incidence of complications in the observation group was 11.4%,significantly lower than 28.6%in the control group(P<0.05).Conclusions Standard large bone flap craniotomy decompression in the treatment of severe craniocerebral injury has significant effect and high safety,and can effectively reduce the intracranial pressure.

Standard large bone flap craniotomy decompressionSevere craniocerebral injuryEfficacyIntracranial pressure

冯森、祖向阳

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新乡医学院第三附属医院神经外科,河南新乡 453000

标准去大骨瓣开颅减压术 重型颅脑损伤 疗效 颅内压

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(10)