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目的:探讨大骨瓣减压术联合小脑幕切开术治疗重型颅脑损伤并脑疝的疗效。方法:在本院2013年1月至2015年12月收治的重型颅脑损伤并脑疝患者中,选择具有可比性的80例患者作为观察对象,将其随机分成观察组与对照组,对照组患者给予常规的大骨瓣减压术以及血肿清除术,观察组患者在对照组的基础上再给予小脑幕切开术治疗,对比两组患者的临床疗效与格拉斯哥昏迷评分(GCS)。结果:观察组患者的临床疗效比对照组,观察组患者的GCS评分明显比对照组患者的高,差异具有统计学意义(P<0.05)。结论:在重型颅脑损伤并脑疝患者大骨瓣减压术治疗的基础上,给予小脑幕切开术治疗,能够起到有效降低脑压、减轻脑干继发性损害、复位海马回以及松解疝环等作用。
Objective: To investigate the effect of decompressive craniectomy combined with cerebellar incision on severe craniocerebral injury and cerebral hernia. Methods: Eighty patients with severe craniocerebral injury and hernia admitted from January 2013 to December 2015 in our hospital were selected as the observation subjects. They were randomly divided into observation group, control group and control group The patients were given conventional decompressive craniectomy and hematoma removal. The patients in the observation group were treated with cerebellar incision on the basis of the control group. The clinical efficacy and Glasgow Coma Scale (GCS) were compared between the two groups. Results: The clinical efficacy of the observation group was significantly higher than that of the control group. The GCS score of the observation group was significantly higher than that of the control group (P <0.05). Conclusion: In the treatment of severe craniocerebral injury and cerebral hernia in patients with large bone flap decompression, based on the treatment of cerebellar incision, can effectively reduce the brain pressure, reduce secondary damage to the brain stem, reset the hippocampus and pine Solutions such as hernia ring role.