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目的观察硬脑膜网状扩大成型术治疗重型颅脑创伤的临床效果。方法 50例重型颅脑创伤患者,随机分成对照组和治疗组,每组25例。对照组采用硬脑膜放射状扩大成型术治疗,治疗组采用硬脑膜网状扩大成型术治疗,比较两组治疗效果及不良反应情况等。结果治疗组患者死亡率(8.00%)、植物生存率(4.00%)、致残率(4.00%)、良好率(84.00%)均优于对照组患者(24.00%、20.00%、28.00%、28.00%),治疗组患者在死亡、植物生存、致死率均低于对照组,差异均有统计学意义(P<0.05),而治疗组良好率明显高于对照组,差异有统计学意义(P<0.05)。治疗组患者并发症发生率为12.00%(3/25),对照组并发症发生率为88.00%(22/25),两组并发症发生率比较差异有统计学意义(P<0.05)。结论对重型颅脑创伤的患者采用硬脑膜网状扩大成型术治疗能有效提高疗效,降低并发症发生率及死亡率、致残率,改善患者生活质量,具有一定临床价值,值得推广运用。
Objective To observe the clinical effect of dural reticular enlargement for severe traumatic brain injury. Methods Fifty patients with severe craniocerebral trauma were randomly divided into control group and treatment group, with 25 cases in each group. The control group was treated with radial dilatation of dura mater, and the treatment group was treated with dural mesh expansion molding. The therapeutic effects and adverse reactions of the two groups were compared. Results The mortality (8.00%), plant survival rate (4.00%), morbidity rate (4.00%) and good rate (84.00%) in the treatment group were all better than those in the control group (24.00%, 20.00%, 28.00%, 28.00 %). The death rate, plant survival rate and lethality rate in the treatment group were lower than those in the control group (P <0.05), while the good rate in the treatment group was significantly higher than that in the control group (P <0.05). The incidence of complications in the treatment group was 12.00% (3/25), while the incidence of complications in the control group was 88.00% (22/25). There was significant difference in the complication rates between the two groups (P <0.05). Conclusion The treatment of severe craniocerebral trauma with dural mesh expansion can effectively improve the curative effect, reduce the incidence of complications and mortality, morbidity and improve the quality of life of patients with some clinical value, it is worth to promote the use of.