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目的本文旨在探讨颅脑外伤后迟发性血肿的手术治疗效果。方法选取我院2011年1月~2014年4月住院部47例颅脑外伤迟发性血肿患者作为本次研究对象,将患者随机分成研究组(24例)和对照组(23例),拟定不同的治疗方案对患者进行治疗,对照组患者采取保守治疗清除血肿,研究组采取手术治疗,采取格拉斯哥预后分级评分(GOS)以及日常生活能力量表(ADL)对患者治疗的效果进行评估,并观察对比两组患者治疗后的并发症情况。结果患者治疗后GOS及ADL评分情况对比,研究组均显著优于对照组,p<0.05,差异具有统计学意义;两组患者总并发症率对比无差异,p>0.05,差异无统计学意义。结论颅脑外伤容易出现迟发性血肿,采取手术清除血肿治疗临床效果良好,患者预后好,且生活质量较高,是值得临床应用及推广的良好方法。
Objective This paper aims to investigate the surgical treatment of delayed hematoma after traumatic brain injury. Methods 47 patients with delayed traumatic brain injury in our hospital from January 2011 to April 2014 were enrolled in this study. The patients were randomly divided into study group (24 cases) and control group (23 cases) Patients were treated with different treatment regimens, patients in the control group were treated conservatively to remove the hematoma, patients in the study group were treated by surgery, GOS and ADL were used to assess the effect of the treatment, and The comparisons between the two groups were observed and compared. Results After treatment, the scores of GOS and ADL in the study group were significantly better than those in the control group, p <0.05, the difference was statistically significant; there was no difference in the total complication rate between the two groups (p> 0.05), but the difference was not statistically significant . Conclusions Traumatic brain injury is prone to delayed hematoma. Surgical removal of hematoma is a good clinical outcome and good prognosis, and the quality of life is good. It is a good method worthy of clinical application and promotion.