[1]谷佳良.标准大骨瓣手术治疗重型颅脑创伤的效果[J].医学信息,2022,35(14):107-109.[doi:10.3969/j.issn.1006-1959.2022.14.025]
　GU Jia-liang.Effect of Standard Large Trauma Craniotomy on Severe Traumatic Brain Injury[J].Medical Information,2022,35(14):107-109.[doi:10.3969/j.issn.1006-1959.2022.14.025]
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标准大骨瓣手术治疗重型颅脑创伤的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年14期
页码:
107-109
栏目:
临床研究
出版日期:
2022-07-15

文章信息/Info

Title:
Effect of Standard Large Trauma Craniotomy on Severe Traumatic Brain Injury
文章编号:
1006-1959（2022）14-0107-03
作者:
谷佳良
（天津市宁河区医院神经外科，天津 301500）
Author(s):
GU Jia-liang
(Department of Neurosurgery,Tianjin Ninghe District Hospital,Tianjin 301500,China)
关键词:
标准大骨瓣手术; 重型颅脑创伤; 颅内压
Keywords:
Standard large trauma craniotomy; Severe traumatic brain injury; Intracranial pressure
分类号:
R651.15
DOI:
10.3969/j.issn.1006-1959.2022.14.025
文献标志码:
A
摘要:
目的 观察标准大骨瓣手术治疗重型颅脑创伤的效果。方法 选取2018年7月-2021年7月我院诊治的74例重型颅脑创伤患者为研究对象，采用随机数字表法分为对照组和观察组，各37例。对照组采用骨瓣开颅减压术治疗，观察组采用标准大骨瓣手术治疗，比较两组治疗疗效、临床手术指标、拉斯哥预后评分（GOS）评分、颅内压、并发症发生率。结果 观察组治疗总有效率为94.59%，高于对照组的83.78%，差异有统计学意义（P＜0.05）；观察组手术时间、术中出血量与对照组比较，差异无统计学意义（P＞0.05）；观察组治疗后GOS评分高于对照组，差异有统计学意义（P＜0.05）；观察组治疗后颅内压均低于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P＜0.05）。结论 标准大骨瓣手术治疗重型颅脑创伤效果确切，可降低颅内压，改善预后，且并发症发生率低。
Abstract:
Objective To observe the effect of standard large trauma craniotomy on severe traumatic brain injury.Methods A total of 74 patients with severe traumatic brain injury who were treated in our hospital from July 2018 to July 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 37 cases in each group. The control group was treated with craniotomy decompression, and the observation group was treated with standard large trauma craniotomy. The therapeutic effect, clinical surgical indexes, Glasgow outcome score (GOS) score, intracranial pressure and incidence of complications were compared between the two groups.Results The total effective rate of the observation group was 94.59%, which was higher than 83.78% of the control group, and the difference was statistically significant (P<0.05). The GOS score of the observation group was higher than that of the control group after treatment, and the difference was statistically significant (P<0.05). The intracranial pressure in the observation group was lower than that in the control group after treatment, and the difference was statistically significant (P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05).Conclusion Standard large trauma craniotomy is effective in the treatment of severe traumatic brain injury, which can reduce intracranial pressure, improve prognosis and reduce the incidence of complications.

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更新日期/Last Update: 1900-01-01