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目的:对治疗重型颅脑损伤患者去骨瓣减压术中应用硬脑膜预先减张缝合术的临床意义进行探讨。方法:选取我院202例重型颅脑损伤患者进行分组治疗,对照组和观察组,分别进行直接头皮缝合和硬脑膜预先减张缝合术,根据神经内科格拉斯哥预后标准对患者术后6个月的生活情况进行评分和统计分析,并对术后并发症的情况统计描述,比较两组的临床效果。结果:观察组在术后评分以及术后并发症发病率方面均明显优于对照组,统计学检验显著P<0.05。结论:硬脑膜预先减张缝合术在配合去骨瓣减压治疗重型颅脑损伤患者临床应用中可显著提高治疗有效率并降低术后并发症的发生,值得在临床中进一步改进和推广。
OBJECTIVE: To investigate the clinical significance of applying dural suture anastomosis in the treatment of severe craniocerebral injury patients with decompressive craniectomy. Methods: 202 cases of severe craniocerebral injury in our hospital were divided into treatment group, control group and observation group, respectively, direct scalp suture and dural suture anastomosis, according to Neurology Glasgow prognostic criteria of patients after 6 months Living conditions were scored and statistical analysis, and statistical comparisons of postoperative complications, the clinical efficacy of the two groups were compared. Results: The observation group was significantly better than the control group in postoperative score and incidence of postoperative complications, the statistical test was significant P <0.05. Conclusion: The dural suture anastomosis in the treatment of patients with severe craniocerebral injury with decompression can significantly improve the treatment efficiency and reduce the incidence of postoperative complications, it is worth further improvement in the clinical and promotion.