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目的:分析大骨瓣减压术与天幕切开术联合应用于重型脑外伤合并脑疝治疗中的临床效果。方法:选择我院2013年4月-2017年4月收治的90例重型脑外伤合并脑疝患者为研究对象,依据治疗方案的不同分成观察组(47例)和对照组(43例),对照组行大骨瓣减压术治疗,观察组在对照组的基础上联合天幕切开术治疗,观察两组治疗效果。结果:观察组术后1、6个月GCS评分显著优于对照组(P<0.05);观察组中残率与对照组无显著差异(P<0.05);良好及轻残率、重残率及死亡率显著优于对照组(P<0.05);观察组颅内压显著低于对照组(P<0.05)。结论:重型脑外伤合并脑疝应用大骨瓣减压术联合天幕切开术治疗,可有效提高治疗效果,快速降低颅内压,死亡率低,值得推广应用。
OBJECTIVE: To analyze the clinical effect of decompressive craniectomy combined with canola in the treatment of severe traumatic brain injury combined with hernia. Methods: Ninety patients with severe traumatic brain injury complicated with hernia were selected from April 2013 to April 2017 in our hospital. The patients were divided into observation group (47 cases) and control group (43 cases) according to different treatment regimens. Group of large bone flap decompression treatment, the observation group on the basis of the control group combined with canopy surgery, the treatment effect was observed in both groups. Results: The GCS scores of the observation group were significantly better than those of the control group at 1 and 6 months postoperatively (P <0.05). There was no significant difference between the observation group and the control group (P <0.05) (P <0.05). The intracranial pressure in the observation group was significantly lower than that in the control group (P <0.05). Conclusion: The treatment of severe traumatic brain injury combined with cerebral hernia using big bone flap decompression combined with canopy incision can effectively improve the therapeutic effect, reduce intracranial pressure rapidly, and has low mortality. It is worth popularizing and applying.