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目的探讨天幕裂孔切开术治疗合并天幕裂孔疝形成的重型颅脑损伤患者的临床价值。方法收集我院2002年1月～2005年12月收治符合标准的该类患者118例,分为两组。治疗组63例行血肿清除、去骨瓣减压及天幕裂孔切开术;对照组55例行血肿清除、去骨瓣减压,不行天幕裂孔切开术。结果治疗组脑积水、术后脑梗塞、应激性溃疡的发生率低于对照组(P<0.05),颅内压下降程度显著优于对照组(P<0.05),疗效显著优于对照组(P<0.05)。结论天幕裂孔切开术是治疗颅脑损伤合并小脑幕裂孔疝患者的一种有效手术方式。
Objective To investigate the clinical value of canopy hole incision in the treatment of severe craniocerebral injury with hiatal hiatal hernia. Methods A total of 118 patients who met the criteria of our hospital from January 2002 to December 2005 were collected and divided into two groups. In the treatment group, 63 patients underwent hematoma removal, decompressive craniectomy, and canopy hole incision. In the control group, 55 patients underwent hematoma removal and decompression of the bones. Results The incidence of hydrocephalus, postoperative cerebral infarction and stress ulcer in treatment group was lower than that in control group (P <0.05), and the decrease of intracranial pressure was significantly better than that in control group (P <0.05) Group (P <0.05). Conclusions Skytopotomy is an effective method for the treatment of craniocerebral injury patients with cerebellar cracked hernia.