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目的 :分析探讨在脑外伤手术中采取硬脑膜网状切开的临床效果以及相关表现。方法 :选取我院2014年2月——2016年2月收治入院的脑外伤手术患者120例,将其随机分为观察组和对照组各60例,对照组采取常规大骨瓣切开治疗,观察组采取硬脑膜网状切开,分析对比两组患者的手术相关情况。结果 :经治疗后,观察组患者死亡5人,死亡率为8.3%,对照组死亡11人,死亡率为18.3%。两组患者死亡率对比具有统计学差异(P<0.05)。而在治疗后,对照组患者的伤残人数为27人,伤残率为45.0%,而观察组仅有14人致残,伤残率为23.3%。两组患者伤残情况对比具有统计学差异(P<0.05)结论 :采取硬脑膜网状切开治疗脑外伤,可以显著的降低患者在术中的死亡率以及术后的伤残率,对于处理外伤也有较为积极的影响,适合在临床上广泛的推广和应用。
Objective: To analyze and discuss the clinical effect and related performance of dural reticular incision in traumatic brain injury. Methods: A total of 120 patients admitted to our hospital from February 2014 to February 2016 were randomly divided into observation group (60 cases) and control group (60 cases). The control group was treated with conventional open treatment of large bone flap, The observation group was dural mesh reticular incision, analyzed and compared the operation of the two groups of patients. Results: After treatment, there were 5 deaths in the observation group, with a mortality rate of 8.3% and 11 deaths in the control group with a mortality rate of 18.3%. The two groups of patients with mortality was statistically significant (P <0.05). After treatment, the number of disabled persons in the control group was 27, the disability rate was 45.0%, while only 14 people in the observation group were disabled, with a disability rate of 23.3%. There was significant difference between the two groups in the disability (P <0.05) .Conclusion: Taking dural reticular incision in the treatment of traumatic brain injury can significantly reduce the intraoperative mortality and postoperative disability rate, Trauma also has a more positive impact, suitable for widespread clinical application and application.