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目的:探讨改良去骨瓣减压术对重型颅脑外伤(TBI)治疗的影响效果。方法:选取2010年1月至2015年12月来英德市中医院就诊的行去骨瓣减压术重型TBI患者300例,依据手术方式不同划分为例数相同的两组,均行去骨瓣减压术,将行传统式手术的患者150例作为对照组,行改良式手术的患者150例作为改良组,对比两组的疗效、致残率等情况。结果:本次研究中,改良组死亡率1.33%(2/150)明显低于传统式治疗的对照组11.33%(17/150),差异具有统计学意义(P<0.05);改良组并发症发生率34.00%(51/150)明显低于对照组50.67%(76/150),差异具有统计学意义(P<0.05)。结论:将改良去骨瓣减压术应用于重型TBI患者治疗过程中,可明显提高预后效果,而且可减少脑积水、癫痫等并发症,可将其作为TBI的有效措施。
Objective: To investigate the effect of modified decompressive craniectomy on the treatment of severe traumatic brain injury (TBI). Methods: 300 patients with severe TBI undergoing decompressive craniectomy from January 2010 to December 2015 were enrolled in this study. The patients were divided into two groups with the same number of patients according to the operation method, Decompression of the valve, 150 patients who underwent conventional surgery as the control group, and 150 patients who underwent modified surgery as the improvement group. The curative effect and disability rate of the two groups were compared. Results: In this study, the mortality of the modified group was 1.33% (2/150), which was significantly lower than that of the control group (11.33%, 17/150). The difference was statistically significant (P <0.05) The incidence was 34.00% (51/150), which was significantly lower than that of the control group (50.67%, 76/150). The difference was statistically significant (P <0.05). Conclusion: The application of modified decompressive craniectomy in the treatment of patients with severe TBI can significantly improve the prognosis, reduce the complications of hydrocephalus and epilepsy, and can be used as an effective measure of TBI.