[1]王伟华.颅脑外伤开颅血肿清除加去骨瓣减压术对大脑中动脉血流速度及运动功能的影响[J].医学信息,2026,39(10):156-159,164.[doi:10.3969/j.issn.1006-1959.2026.10.029]
　WANG Weihua.Effects of Craniotomy Hematoma Removal and Decompressive Craniectomy on Blood Flow Velocityand Motor Function of Middle Cerebral Artery in Patients with Craniocerebral Trauma[J].Journal of Medical Information,2026,39(10):156-159,164.[doi:10.3969/j.issn.1006-1959.2026.10.029]
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颅脑外伤开颅血肿清除加去骨瓣减压术对大脑中动脉血流速度及运动功能的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年10期
页码:
156-159,164
栏目:
临床证据信息
出版日期:
2026-05-15

文章信息/Info

Title:
Effects of Craniotomy Hematoma Removal and Decompressive Craniectomy on Blood Flow Velocityand Motor Function of Middle Cerebral Artery in Patients with Craniocerebral Trauma
文章编号:
1006-1959（2026）10-0156-05
作者:
王伟华
湖口县人民医院神经外科，江西 湖口 332500
Author(s):
WANG Weihua
Department of Neurosurgery, Hukou County People′s Hospital, Hukou 332500, Jiangxi, China
关键词:
颅脑外伤; 开颅血肿清除; 去骨瓣减压术; 大脑动脉血流速度; 运动功能
Keywords:
Craniocerebral trauma;  Craniotomy hematoma removal;  Decompressive craniectomy;  Cerebral artery blood flow velocity;  Motor function
分类号:
R742
DOI:
10.3969/j.issn.1006-1959.2026.10.029
文献标志码:
A
摘要:
目的 分析颅脑外伤开颅血肿清除加去骨瓣减压术对大脑中动脉血流速度及运动功能的影响。方法 择取2020年11月-2024年10月湖口县人民医院神经外科收治的100例颅脑外伤患者为研究对象，按照随机数字表法将其分为对照组和研究组，每组50例。对照组实施开颅血肿清除术治疗，研究组在对照组基础上行双侧相继去骨瓣减压术。比较两组大脑动脉血流速度[收缩期峰值流速（PSV）、舒张期末流速（EDV）]、运动功能、炎性因子水平[肿瘤坏死因子-α（TNF-α）、白细胞介素-2（IL-2）、IL-4]、术后并发症（颅内高压、切口疝、脑积水、感染）发生情况。结果 研究组大脑动脉血流速度均高于对照组（P＜0.05）。研究组运动功能评分高于对照组（P＜0.05）。研究组炎性因子水平均低于对照组（P＜0.05）。研究组术后并发症发生率低于对照组（P＜0.05）。结论 开颅血肿清除加去骨瓣减压术治疗颅脑外伤患者的临床疗效确切，能够加快患者大脑动脉血流速度，提高患者运动功能，减轻患者术后炎性反应，且安全性较高，值得临床推广应用。
Abstract:
Objective To evaluate the effects of craniotomy hematoma removal and decompressive craniectomy on blood flow velocity and motor function of middle cerebral artery in patients with craniocerebral trauma. Methods From November 2020 to October 2024, 100 patients with craniocerebral trauma were enrolled from the Neurosurgery Department of Hukou County People′s Hospital. They were randomly divided into a control group and a study group, each comprising 50 individuals. The control group received craniotomy hematoma removal, while the study group underwent bilateral sequential decompressive craniectomy on the basis of the control group. The cerebral artery blood flow velocity [peak systolic velocity (PSV), end diastolic velocity (EDV)], motor function, inflammatory factor levels [tumor necrosis factor-α (TNF-α), interleukin-2 (IL-2), IL-4] and postoperative complications (intracranial hypertension, incisional hernia, hydrocephalus, infection) were compared between the two groups. Results The cerebral artery blood flow velocity in the study group was higher than that in the control group (P<0.05). The motor function scores of the study group were higher than those of the control group (P<0.05). The levels of inflammatory factors in the study group were lower than those in the control group (P<0.05). The incidence of postoperative complications in the study group was lower than that in the control group (P<0.05). Conclusion The combination of craniotomy hematoma removal and decompressive craniectomy is clinically effective in treating craniocerebral trauma. It enhances cerebral artery blood flow, improves motor function, and reduces postoperative inflammation. This approach is safe and suitable for clinical use.

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更新日期/Last Update: 1900-01-01